Provider Demographics
NPI:1518343011
Name:FORSYTH SOMMER, DESIREE MARIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:MARIA
Last Name:FORSYTH SOMMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9936 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5700
Mailing Address - Country:US
Mailing Address - Phone:202-677-2683
Mailing Address - Fax:
Practice Address - Street 1:9936 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5700
Practice Address - Country:US
Practice Address - Phone:202-677-2683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH1288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health