Provider Demographics
NPI:1447383963
Name:MUNIUTE, EIVINA
Entity Type:Individual
Prefix:MS
First Name:EIVINA
Middle Name:
Last Name:MUNIUTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 SW 15TH ST
Mailing Address - Street 2:#71
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7538
Mailing Address - Country:US
Mailing Address - Phone:954-571-8511
Mailing Address - Fax:954-234-2383
Practice Address - Street 1:2301 W SAMPLE RD STE 3-4A
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3011
Practice Address - Country:US
Practice Address - Phone:954-263-8876
Practice Address - Fax:954-234-2383
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health