Provider Demographics
NPI:1114057965
Name:TENENBAUM, KARINA E (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:E
Last Name:TENENBAUM
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 1:501 88TH ST
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3336
Mailing Address - Country:US
Mailing Address - Phone:786-326-8402
Mailing Address - Fax:305-866-2087
Practice Address - Street 1:333 41 STREET
Practice Address - Street 2:702
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:786-326-8402
Practice Address - Fax:305-866-2087
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH#6221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health