Provider Demographics
NPI:1790772507
Name:FINA, SILVIO ERNESTO (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:SILVIO
Middle Name:ERNESTO
Last Name:FINA
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 MURRAY LN
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-4372
Mailing Address - Country:US
Mailing Address - Phone:850-255-1345
Mailing Address - Fax:850-944-8911
Practice Address - Street 1:5403 MURRAY LN
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-4372
Practice Address - Country:US
Practice Address - Phone:850-255-1345
Practice Address - Fax:850-944-8911
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health