Provider Demographics
NPI:1326758533
Name:BEHRENS-SOULAVY, CRISTINA MARIA (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:MARIA
Last Name:BEHRENS-SOULAVY
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6857 SUNRISE TER
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-7029
Mailing Address - Country:US
Mailing Address - Phone:305-753-0969
Mailing Address - Fax:
Practice Address - Street 1:1428 BRICKELL AVE STE 403
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3436
Practice Address - Country:US
Practice Address - Phone:305-915-5748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health