MEDICARE: NIKOLETTE MACHADO MA, 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	MH21694	FL

General Provider Information

NPI Number	:	1194332262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKOLETTE MACHADO MA, LMHC

Provider Business Mailing Address
First Line	:	5746 SW 100TH ST
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-2015
Country	:	US
Telephone Number	:	305-778-0192
Fax Number	:

Provider Business Practice Location Address
First Line	:	1533 SUNSET DR STE 225
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-5700
Country	:	US
Telephone Number	:	786-733-6422
Fax Number	:

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

Provider Enumeration Date	:	09/23/2020
Last Update Date	:	12/21/2023

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