Provider Demographics
NPI:1437482205
Name:SANTOS, RENATO O (LMHC)
Entity Type:Individual
Prefix:MR
First Name:RENATO
Middle Name:O
Last Name:SANTOS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 N KENDALL DR
Mailing Address - Street 2:BAPTIST HOSPITAL - CARE AND COUNSELING SERVICES
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2118
Mailing Address - Country:US
Mailing Address - Phone:786-596-6577
Mailing Address - Fax:786-596-2730
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:BAPTIST HOSPITAL - CARE AND COUNSELING SERVICES
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:786-596-6577
Practice Address - Fax:786-596-2730
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9969101YM0800X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral