Provider Demographics
NPI:1891394409
Name:CANNET, ARIADNA (CBHCM, CBHCMS)
Entity Type:Individual
Prefix:
First Name:ARIADNA
Middle Name:
Last Name:CANNET
Suffix:
Gender:F
Credentials:CBHCM, CBHCMS
Other - Prefix:
Other - First Name:ARIADNA
Other - Middle Name:JEANNE
Other - Last Name:CANNET VALLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27583 SW 143RD CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8871
Mailing Address - Country:US
Mailing Address - Phone:305-553-4069
Mailing Address - Fax:305-707-9456
Practice Address - Street 1:27583 SW 143RD CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8871
Practice Address - Country:US
Practice Address - Phone:305-553-4069
Practice Address - Fax:305-707-9456
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM103224171M00000X
FLCBHCMS100982171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator