MEDICARE: PATRICIA MONTERO 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	101YM0800X	Mental Health Counselor	MH13435	FL

General Provider Information

NPI Number	:	1730568882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA MONTERO LMHC

Provider Business Mailing Address
First Line	:	6915 S RED RD STE 227
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3657
Country	:	US
Telephone Number	:	305-783-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	6915 S RED RD STE 227
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3657
Country	:	US
Telephone Number	:	305-783-9452
Fax Number	:

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

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	04/26/2021

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