Provider Demographics
NPI:1659156875
Name:INSIGNARES, CARLOS ANTONIO (PHD, M DIV, CFC)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANTONIO
Last Name:INSIGNARES
Suffix:
Gender:M
Credentials:PHD, M DIV, CFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SOUTH FEDERAL HIGHWAY
Mailing Address - Street 2:#1032
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33008-6044
Mailing Address - Country:US
Mailing Address - Phone:561-444-8907
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTH FEDERAL HIGHWAY
Practice Address - Street 2:#1032
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33008-6044
Practice Address - Country:US
Practice Address - Phone:561-444-8907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMHC24164101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor