Provider Demographics
NPI:1437453826
Name:OTERO, MARIA ELENA (LMHC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:OTERO
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 1:13231 NW 10TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2244
Mailing Address - Country:US
Mailing Address - Phone:305-898-6846
Mailing Address - Fax:
Practice Address - Street 1:13231 NW 10TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2244
Practice Address - Country:US
Practice Address - Phone:305-898-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health