Provider Demographics
NPI:1306864848
Name:ROSALES, AMERICO (LCSW, LMFT)
Entity Type:Individual
Prefix:MR
First Name:AMERICO
Middle Name:
Last Name:ROSALES
Suffix:
Gender:M
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7815 SW 82ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3837
Mailing Address - Country:US
Mailing Address - Phone:305-283-8939
Mailing Address - Fax:
Practice Address - Street 1:9220 SW 72ND ST
Practice Address - Street 2:#203 BLDG #7 THERAPARTNERS OF SOUTH FLORIDA
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3259
Practice Address - Country:US
Practice Address - Phone:305-595-2590
Practice Address - Fax:305-595-3746
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5231041C0700X
FLMT370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist