Provider Demographics
NPI: | 1497334999 |
---|---|
Name: | GUELL RAMIREZ, CLAUDIA C (BS) |
Entity Type: | Individual |
Prefix: | |
First Name: | CLAUDIA |
Middle Name: | C |
Last Name: | GUELL RAMIREZ |
Suffix: | |
Gender: | F |
Credentials: | BS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 16115 SW 117TH AVE STE A3-A4 |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33177-1624 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-458-7367 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 16115 SW 117TH AVE STE A3 |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33177-1647 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-458-7367 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2021-04-03 |
Last Update Date: | 2021-04-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | MH15776 | 101YM0800X, 103K00000X, 103TA0700X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 104100000X, 106H00000X, 171M00000X, 225100000X, 225X00000X, 251S00000X, 261QA0600X, 103TH0100X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | ||
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | ||
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | ||
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | ||
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |