Provider Demographics
NPI:1689897266
Name:CHIMENO DE BUZZI, ANA MARIA (MA,LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MARIA
Last Name:CHIMENO DE BUZZI
Suffix:
Gender:F
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CRANDON BLVD
Mailing Address - Street 2:#343
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1519
Mailing Address - Country:US
Mailing Address - Phone:336-210-8183
Mailing Address - Fax:305-365-0757
Practice Address - Street 1:3692 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3033
Practice Address - Country:US
Practice Address - Phone:336-210-8183
Practice Address - Fax:305-365-0757
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1354HOtherBCBSH
NC6107086Medicaid
NC7440593OtherAETNA
NC2177639OtherCIGNA