Provider Demographics
NPI:1235277740
Name:FIGUEROA, DONNETTE DAISY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DONNETTE
Middle Name:DAISY
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 NW 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5267
Mailing Address - Country:US
Mailing Address - Phone:954-964-9710
Mailing Address - Fax:954-893-0498
Practice Address - Street 1:601 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4054
Practice Address - Country:US
Practice Address - Phone:954-321-2296
Practice Address - Fax:954-321-5399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL759951000Medicaid