Provider Demographics
NPI:1518139054
Name:PARODI, LAURA (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PARODI
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11821 SW 252ND TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5807
Mailing Address - Country:US
Mailing Address - Phone:305-300-2896
Mailing Address - Fax:
Practice Address - Street 1:8175 NW 12TH ST STE 119
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1828
Practice Address - Country:US
Practice Address - Phone:786-362-5981
Practice Address - Fax:786-362-5963
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2440106H00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist