Provider Demographics
NPI:1043443963
Name:GONI, ROSIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:
Last Name:GONI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ROSIE
Other - Middle Name:
Other - Last Name:GONI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:7350 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1605
Mailing Address - Country:US
Mailing Address - Phone:954-404-6261
Mailing Address - Fax:954-239-8612
Practice Address - Street 1:7350 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1605
Practice Address - Country:US
Practice Address - Phone:954-404-6261
Practice Address - Fax:954-239-8612
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2410106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist