Provider Demographics
NPI:1942456090
Name:NAVARRO, EILEEN (LMHC)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:NAVARRO
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 1:10469 SW 23RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7931
Mailing Address - Country:US
Mailing Address - Phone:305-450-2815
Mailing Address - Fax:
Practice Address - Street 1:1390 S DIXIE HWY STE 2118
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2945
Practice Address - Country:US
Practice Address - Phone:305-450-2815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health