Provider Demographics
NPI:1598204380
Name:BORGES, ARIEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:
Last Name:BORGES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:MR
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:BORGES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9029 SW 148TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4128
Mailing Address - Country:US
Mailing Address - Phone:786-334-7546
Mailing Address - Fax:
Practice Address - Street 1:2157 SW 13TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2930
Practice Address - Country:US
Practice Address - Phone:786-334-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19-108107106S00000X
FLMH21412103K00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH21412OtherFLORIDA MENTAL HEALTH BOARD