Provider Demographics
NPI:1972857969
Name:MARIMON, YAZMINE (LMHC)
Entity Type:Individual
Prefix:
First Name:YAZMINE
Middle Name:
Last Name:MARIMON
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 1:7513 ADVENTURE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4107
Mailing Address - Country:US
Mailing Address - Phone:786-229-6947
Mailing Address - Fax:
Practice Address - Street 1:4770 BISCAYNE BLVD STE 1440
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3247
Practice Address - Country:US
Practice Address - Phone:786-229-6947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health