Provider Demographics
NPI:1467733048
Name:BTESH, JOSE (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:
Last Name:BTESH
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 1:2150 SANS SOUCI BLVD
Mailing Address - Street 2:C 1502
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3045
Mailing Address - Country:US
Mailing Address - Phone:786-447-0395
Mailing Address - Fax:
Practice Address - Street 1:2150 SANS SOUCI BLVD
Practice Address - Street 2:C 1502
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3045
Practice Address - Country:US
Practice Address - Phone:786-447-0395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health