Provider Demographics
NPI:1225228976
Name:FLEITES, ANA ROSA (LMHC, PSYD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ROSA
Last Name:FLEITES
Suffix:
Gender:F
Credentials:LMHC, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7755 SW 86TH ST
Mailing Address - Street 2:APT#: C-103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7288
Mailing Address - Country:US
Mailing Address - Phone:786-298-0361
Mailing Address - Fax:305-269-8558
Practice Address - Street 1:7821 CORAL WAY
Practice Address - Street 2:SUITE#: 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6542
Practice Address - Country:US
Practice Address - Phone:305-269-8550
Practice Address - Fax:305-269-8558
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health