Provider Demographics
NPI:1033433271
Name:REYES, MADELIN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MADELIN
Middle Name:
Last Name:REYES
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 1:11001 NW 7TH ST
Mailing Address - Street 2:APT# 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3676
Mailing Address - Country:US
Mailing Address - Phone:305-559-8838
Mailing Address - Fax:305-559-6608
Practice Address - Street 1:9600 SW 8TH ST # T
Practice Address - Street 2:STE# 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:305-559-8838
Practice Address - Fax:305-559-6608
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health