MEDICARE: CHAYA MUSHKA KATZ 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	MH21466	FL

General Provider Information

NPI Number	:	1457049223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAYA MUSHKA KATZ LMHC

Provider Business Mailing Address
First Line	:	10155 COLLINS AVE BAL HARBOUR
Second Line	:	1403
City	:	MIAMI
State	:	FL
Zip	:	33154
Country	:	US
Telephone Number	:	786-695-3387
Fax Number	:

Provider Business Practice Location Address
First Line	:	10155 COLLINS AVE BAL HARBOUR
Second Line	:	1403
City	:	MIAMI
State	:	FL
Zip	:	33154
Country	:	US
Telephone Number	:	786-695-3387
Fax Number	:

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

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	04/28/2023

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