Provider Demographics
NPI:1801187273
Name:CABRERA, WENDY (LMHC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SUNNY ISLES BLVD APT 405
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5085
Mailing Address - Country:US
Mailing Address - Phone:305-333-7521
Mailing Address - Fax:
Practice Address - Street 1:400 SUNNY ISLES BLVD APT 405
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5085
Practice Address - Country:US
Practice Address - Phone:305-333-7521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9190101YM0800X
FLMH-9190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health