Provider Demographics
NPI:1619032117
Name:ALMINANA, HIMER RUDY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HIMER
Middle Name:RUDY
Last Name:ALMINANA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 QUESADA ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6017
Mailing Address - Country:US
Mailing Address - Phone:321-536-6042
Mailing Address - Fax:321-953-3252
Practice Address - Street 1:1503 PINE ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3120
Practice Address - Country:US
Practice Address - Phone:321-536-6042
Practice Address - Fax:321-953-3252
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW70151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical