Provider Demographics
NPI:1497999221
Name:PENA, FRANCISCO ALBERTO JR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:ALBERTO
Last Name:PENA
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5753 MIAMI LAKES DR E
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2417
Mailing Address - Country:US
Mailing Address - Phone:305-403-0006
Mailing Address - Fax:305-403-4119
Practice Address - Street 1:5753 MIAMI LAKES DR E
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2417
Practice Address - Country:US
Practice Address - Phone:305-403-0006
Practice Address - Fax:305-403-4119
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMH5772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health