Provider Demographics
NPI:1134458268
Name:WATTERS, YULIA (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:YULIA
Middle Name:
Last Name:WATTERS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MRS
Other - First Name:YULIA
Other - Middle Name:
Other - Last Name:BESKADAROVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:900 BAY DR APT 825
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-5633
Mailing Address - Country:US
Mailing Address - Phone:954-804-5410
Mailing Address - Fax:
Practice Address - Street 1:18851 NE 29TH AVE STE 726
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2808
Practice Address - Country:US
Practice Address - Phone:786-228-6638
Practice Address - Fax:866-709-4829
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-20
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2414106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist