Provider Demographics
NPI:1023416914
Name:MEDRANO, NOHEMI (MS LMHC)
Entity type:Individual
Prefix:
First Name:NOHEMI
Middle Name:
Last Name:MEDRANO
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W CAMINO REAL # 1074
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5942
Mailing Address - Country:US
Mailing Address - Phone:561-867-8787
Mailing Address - Fax:
Practice Address - Street 1:12012 S SHORE BLVD STE 108
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6397
Practice Address - Country:US
Practice Address - Phone:561-424-7175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health