Provider Demographics
NPI:1588823793
Name:PATRICIA GIENAU-MARTINEZ, LMFT, PA DBA THE COUNSELING CENTER OF MIAMI
Entity Type:Organization
Organization Name:PATRICIA GIENAU-MARTINEZ, LMFT, PA DBA THE COUNSELING CENTER OF MIAMI
Other - Org Name:THE COUNSELING CENTER OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIENAU-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-205-1766
Mailing Address - Street 1:2209 SE 27TH DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1328
Mailing Address - Country:US
Mailing Address - Phone:305-377-2120
Mailing Address - Fax:800-817-3161
Practice Address - Street 1:1850 SW 8TH ST
Practice Address - Street 2:SUITE 313
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3433
Practice Address - Country:US
Practice Address - Phone:305-377-2120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1669261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)