Provider Demographics
NPI:1164655825
Name:FELIPE-CUERVO, ERNESTO (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ERNESTO
Middle Name:
Last Name:FELIPE-CUERVO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MAJORCA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4508
Mailing Address - Country:US
Mailing Address - Phone:305-448-8325
Mailing Address - Fax:305-448-0687
Practice Address - Street 1:75 VALENCIA AVE
Practice Address - Street 2:300
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6141
Practice Address - Country:US
Practice Address - Phone:305-640-5608
Practice Address - Fax:305-640-5613
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9981101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor