MEDICARE: MS. NATASHA VALENTINA GUZMAN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH16597	FL
2	101YP2500X	Professional Counselor	MH16597	FL
3	390200000X	Student in an Organized Health Care Education/Training Program
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083969661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATASHA VALENTINA GUZMAN LMHC

Provider Business Mailing Address
First Line	:	15443 SW 102ND PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-1437
Country	:	US
Telephone Number	:	786-663-8573
Fax Number	:

Provider Business Practice Location Address
First Line	:	15715 S DIXIE HWY STE 320
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-1883
Country	:	US
Telephone Number	:	786-475-2309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	11/18/2024

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