Provider Demographics
NPI:1821526039
Name:DIAZ- MAURI, ERIKA M (LMHC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:M
Last Name:DIAZ- MAURI
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 1:14561 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3788
Mailing Address - Country:US
Mailing Address - Phone:305-300-5506
Mailing Address - Fax:954-398-1213
Practice Address - Street 1:14561 SW 37TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3788
Practice Address - Country:US
Practice Address - Phone:305-300-5506
Practice Address - Fax:954-398-1213
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6935101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH6935OtherPROFESSIONAL LICENSE