Provider Demographics
NPI:1891814745
Name:MIYARES, HEBE B (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEBE
Middle Name:B
Last Name:MIYARES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W FLAGLER ST
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1519
Mailing Address - Country:US
Mailing Address - Phone:305-375-3293
Mailing Address - Fax:
Practice Address - Street 1:140 W FLAGLER ST
Practice Address - Street 2:SUITE 1001
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1519
Practice Address - Country:US
Practice Address - Phone:305-375-3293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSASONLN0925-309101YA0400X
FLSW1054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW1054OtherLICENSED CLINICAL SOCIAL