Individual provider · Type 1 NPI

Ivette Maldonado Diaz, LMHC

Mental Health Counselor · Pembroke Pines, FL

NPI number 1407879166 Active

Practice location

18503 Pines Boulevard, Suite 310
Pembroke Pines, FL 33029

Call (954) 999-4786 Map

Fax (954) 999-4786

Mailing address

1045 SW 159th Lane
Pembroke Pines, FL 33027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 8655 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1407879166

Ivette Maldonado Diaz, LMHC's National Provider Identifier is 1407879166, issued on Jul 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pembroke Pines, FL. The record was last updated on Nov 6, 2019.