Provider Demographics
NPI:1326520701
Name:TIMERMAN BARBOSA DA SILVA, PATRICIA (LMHC, LMFT, QS, NCC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:TIMERMAN BARBOSA DA SILVA
Suffix:
Gender:F
Credentials:LMHC, LMFT, QS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 NW 82ND AVE STE 400M
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7602
Mailing Address - Country:US
Mailing Address - Phone:305-204-7764
Mailing Address - Fax:
Practice Address - Street 1:5201 BLUE LAGOON DR STE 951
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2064
Practice Address - Country:US
Practice Address - Phone:305-482-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2926106H00000X
FLMH12811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1013450782OtherFOR-PROFIT PSYCHOTHERAPY FIRM