Provider Demographics
NPI:1033286117
Name:SEMIDEY, ISABEL AURORA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:AURORA
Last Name:SEMIDEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6526 KENDALE LAKES DR
Mailing Address - Street 2:#1402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1811
Mailing Address - Country:US
Mailing Address - Phone:305-752-6675
Mailing Address - Fax:
Practice Address - Street 1:155 S MIAMI AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1617
Practice Address - Country:US
Practice Address - Phone:305-960-5569
Practice Address - Fax:305-960-5569
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6161101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766313700Medicaid