Provider Demographics
NPI:1134659840
Name:VALMY ESTIVENS, VINIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:VINIA
Middle Name:
Last Name:VALMY ESTIVENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:VINIA
Other - Middle Name:
Other - Last Name:VALMY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:10 FENWICK PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7750
Mailing Address - Country:US
Mailing Address - Phone:561-251-4182
Mailing Address - Fax:
Practice Address - Street 1:1920 PALM BEACH LAKES BLVD STE 206
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3506
Practice Address - Country:US
Practice Address - Phone:561-207-7702
Practice Address - Fax:561-207-7702
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20597101YM0800X
FLMH22637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health