MEDICARE: MRS. AYMEE MILLAN VEINER L.M.H.C.

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	MH 5541	FL

General Provider Information

NPI Number	:	1518275122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AYMEE MILLAN VEINER L.M.H.C.

Provider Business Mailing Address
First Line	:	13281 SW 100TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2864
Country	:	US
Telephone Number	:	305-382-4521
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 W BROWARD BLVD FL 3
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-1048
Country	:	US
Telephone Number	:	954-587-1008
Fax Number	:	954-587-0080

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

Provider Enumeration Date	:	09/16/2010
Last Update Date	:	09/16/2010

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