Provider Demographics
NPI:1578708509
Name:ANSIN, ANA CAROLINA (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CAROLINA
Last Name:ANSIN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11501 SW 153RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5205
Mailing Address - Country:US
Mailing Address - Phone:786-329-9993
Mailing Address - Fax:
Practice Address - Street 1:14335 SW 120TH ST STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7296
Practice Address - Country:US
Practice Address - Phone:786-329-9993
Practice Address - Fax:305-967-8302
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9619101YM0800X
FL1-16-23285103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst