MEDICARE: HIBA ANWER MOTEN

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	IMH24418	FL

General Provider Information

NPI Number	:	1093590218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIBA ANWER MOTEN

Provider Business Mailing Address
First Line	:	9185 SW 170TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-2944
Country	:	US
Telephone Number	:	832-638-6243
Fax Number	:

Provider Business Practice Location Address
First Line	:	9185 SW 170TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-2944
Country	:	US
Telephone Number	:	832-638-6243
Fax Number	:

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

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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Directions to “ HIBA ANWER MOTEN ” Practice Location

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