Provider Demographics
NPI:1215823190
Name:FERREIRA, MARIANA CHAVES (RMHCI)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:CHAVES
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1783 EDEN LN
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-1266
Mailing Address - Country:US
Mailing Address - Phone:864-952-7117
Mailing Address - Fax:
Practice Address - Street 1:1783 EDEN LN
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-1266
Practice Address - Country:US
Practice Address - Phone:864-952-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH27917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health