MEDICARE: YAZMINE MARIMON 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	MH11433	FL

General Provider Information

NPI Number	:	1972857969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAZMINE MARIMON LMHC

Provider Business Mailing Address
First Line	:	7513 ADVENTURE AVE
Second Line	:
City	:	NORTH BAY VILLAGE
State	:	FL
Zip	:	33141-4107
Country	:	US
Telephone Number	:	786-229-6947
Fax Number	:

Provider Business Practice Location Address
First Line	:	4770 BISCAYNE BLVD STE 1440
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3247
Country	:	US
Telephone Number	:	786-229-6947
Fax Number	:

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

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	09/22/2014

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Directions to “ YAZMINE MARIMON LMHC” Practice Location

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