Provider Demographics
NPI:1518570449
Name:AILEEN DIEZ, LMHC, P.A.
Entity Type:Organization
Organization Name:AILEEN DIEZ, LMHC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-439-4434
Mailing Address - Street 1:340 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1527
Mailing Address - Country:US
Mailing Address - Phone:305-439-4344
Mailing Address - Fax:
Practice Address - Street 1:7900 OAK LN OFC 437
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5888
Practice Address - Country:US
Practice Address - Phone:305-439-4434
Practice Address - Fax:786-456-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty