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NPI Code Detail

MEDICARE: MRS. ELENA M DE CARDENAS LMHC

MEDICARE: MRS. ELENA M DE CARDENAS 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
1101YM0800XMental Health Counselor9337FL

General Provider Information

NPI Number : 1457521528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELENA M DE CARDENAS LMHC
Provider Business Mailing Address
First Line : 745 W 69TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4818
Country : US
Telephone Number : 305-979-2569
Fax Number :
Provider Business Practice Location Address
First Line : 430 W 66TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6646
Country : US
Telephone Number : 305-558-2480
Fax Number : 305-558-5052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 07/17/2023

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