Provider Demographics
NPI:1164760674
Name:NEALE, SONIA (LMFT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:NEALE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 SW 75TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2783
Mailing Address - Country:US
Mailing Address - Phone:305-773-6752
Mailing Address - Fax:
Practice Address - Street 1:10689 N KENDALL DR STE 217
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1594
Practice Address - Country:US
Practice Address - Phone:305-773-6752
Practice Address - Fax:305-677-9203
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3023106H00000X
FLMT3023106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist