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NPI Code Detail

MEDICARE: YAIMA M. MENA LMHC

MEDICARE: YAIMA M. 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
11041C0700XClinical Social WorkerMH17340FL
2106S00000XBehavior TechnicianFL
3101YM0800XMental Health CounselorMH17340FL

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 : 1710336227
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAIMA M. MENA LMHC
Provider Business Mailing Address
First Line : 7767 SHALIMAR ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-2425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3440 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2000
Country : US
Telephone Number : 954-424-6911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 06/08/2021

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