Provider Demographics
NPI:1992217806
Name:ROBERTS, BIBI FARIDA (LMHC, NCC, CAP)
Entity Type:Individual
Prefix:MRS
First Name:BIBI
Middle Name:FARIDA
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LMHC, NCC, CAP
Other - Prefix:
Other - First Name:RAZA-TRIMBACH
Other - Middle Name:
Other - Last Name:SUBRYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 277863
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-9997
Mailing Address - Country:US
Mailing Address - Phone:305-299-1095
Mailing Address - Fax:
Practice Address - Street 1:3590 SW 142ND AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027
Practice Address - Country:US
Practice Address - Phone:305-299-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC334180101Y00000X
FL4773101YA0400X
FLMH14767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)