Provider Demographics
NPI:1710938360
Name:CURRAS, GONZALO JESUS (LMHC)
Entity Type:Individual
Prefix:
First Name:GONZALO
Middle Name:JESUS
Last Name:CURRAS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15988 SW 136TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1822
Mailing Address - Country:US
Mailing Address - Phone:786-317-0398
Mailing Address - Fax:305-248-3488
Practice Address - Street 1:15988 SW 136TH WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1822
Practice Address - Country:US
Practice Address - Phone:786-800-6901
Practice Address - Fax:855-407-2214
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLMH9335103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018101700Medicaid
FL008299400Medicaid