MEDICARE: MR. ARIEL BORGES 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	106S00000X	Behavior Technician	19-108107	FL
2	103K00000X	Behavior Analyst	MH21412	FL
3	101YM0800X	Mental Health Counselor	MH21412	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MH21412	OTHER	FL	FLORIDA MENTAL HEALTH BOARD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598204380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARIEL BORGES LMHC

Provider Business Mailing Address
First Line	:	9029 SW 148TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-4128
Country	:	US
Telephone Number	:	786-334-7546
Fax Number	:

Provider Business Practice Location Address
First Line	:	2157 SW 13TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2930
Country	:	US
Telephone Number	:	786-334-7546
Fax Number	:

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

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	03/31/2023

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