Provider Demographics
NPI:1134763477
Name:CF JUNEIDI LCSW LLC
Entity type:Organization
Organization Name:CF JUNEIDI LCSW LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:FARAH
Authorized Official - Last Name:JUNEIDI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-767-4224
Mailing Address - Street 1:68 SE 6TH ST APT 3103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3495
Mailing Address - Country:US
Mailing Address - Phone:312-767-4224
Mailing Address - Fax:
Practice Address - Street 1:68 SE 6TH ST APT 3103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3495
Practice Address - Country:US
Practice Address - Phone:312-767-4224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW20746OtherLCSW LICENSE
TN8500TOtherLCSW LICENSE
IL149.021508OtherLCSW LICENSE