Provider Demographics
NPI:1659408201
Name:SALADO, ANGELITA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANGELITA
Middle Name:
Last Name:SALADO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 NW 111TH CT
Mailing Address - Street 2:APT 5
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3785
Mailing Address - Country:US
Mailing Address - Phone:786-493-0256
Mailing Address - Fax:
Practice Address - Street 1:707 NW 111TH CT
Practice Address - Street 2:APT 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3785
Practice Address - Country:US
Practice Address - Phone:786-493-0256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YA0400X
FLMH13938101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18463OtherBLUE CROSS/BLUE SHIELD
MAY10086Medicare PIN
MA1303295Medicare PIN
MAM18463OtherBLUE CROSS/BLUE SHIELD