Provider Demographics
NPI:1205214434
Name:CABALLERO, MARIANELA (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:MARIANELA
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 NW 72ND AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1348
Mailing Address - Country:US
Mailing Address - Phone:786-703-2828
Mailing Address - Fax:786-221-4405
Practice Address - Street 1:2550 NW 72ND AVE STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1348
Practice Address - Country:US
Practice Address - Phone:786-703-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health