MEDICARE: NICOLE MICHELLE HERDOCIA-ORIA LMFT

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1881340404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE MICHELLE HERDOCIA-ORIA LMFT

Provider Business Mailing Address
First Line	:	1313 PONCE DE LEON BLVD STE 301
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-3343
Country	:	US
Telephone Number	:	786-521-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S DOUGLAS RD STE 1003
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6142
Country	:	US
Telephone Number	:	305-445-0477
Fax Number	:

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

Provider Enumeration Date	:	02/22/2022
Last Update Date	:	06/01/2026

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