Provider Demographics
NPI:1760140131
Name:PASTEL SHAMES, LAURAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURAH
Middle Name:
Last Name:PASTEL SHAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LAURAH
Other - Middle Name:
Other - Last Name:SHAMES STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1065 SW 8TH ST STE 1142
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3601
Mailing Address - Country:US
Mailing Address - Phone:786-909-7995
Mailing Address - Fax:
Practice Address - Street 1:2000 N BAYSHORE DR APT 607
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5116
Practice Address - Country:US
Practice Address - Phone:787-564-9093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL187791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical