Provider Demographics
NPI:1104834696
Name:NARVAEZ, TERESA (PHD LCMHC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:PHD LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 565453
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256
Mailing Address - Country:US
Mailing Address - Phone:305-595-4294
Mailing Address - Fax:305-595-1509
Practice Address - Street 1:10637 N KENDALL DR
Practice Address - Street 2:STE 7-K
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8711
Practice Address - Country:US
Practice Address - Phone:786-205-2470
Practice Address - Fax:305-595-1509
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5302101YM0800X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist