Provider Demographics
NPI:1730320938
Name:CLEMENT, DAMARYS (LMFT)
Entity Type:Individual
Prefix:
First Name:DAMARYS
Middle Name:
Last Name:CLEMENT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 SW 157TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1975
Mailing Address - Country:US
Mailing Address - Phone:305-316-3788
Mailing Address - Fax:305-397-1287
Practice Address - Street 1:9745 SW 184TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6932
Practice Address - Country:US
Practice Address - Phone:786-701-2401
Practice Address - Fax:305-397-1287
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3323106H00000X
FLCBHCMS100066104100000X
FLIMT2276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker