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NPI Code Detail

MEDICARE: MRS. CRISTINA CORAL MENA LMHC

MEDICARE: MRS. CRISTINA CORAL MENA 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 CounselorMH16198FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588142004
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CRISTINA CORAL MENA LMHC
Provider Business Mailing Address
First Line : 5571 N UNIVERSITY DR STE 101
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5571 N UNIVERSITY DR STE 101
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4653
Country : US
Telephone Number : 754-800-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 08/06/2018

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