Provider Demographics
NPI:1255643821
Name:CARAZAS, VITALIA ELIZABETH (CMHP,CRSS)
Entity type:Individual
Prefix:MRS
First Name:VITALIA
Middle Name:ELIZABETH
Last Name:CARAZAS
Suffix:
Gender:F
Credentials:CMHP,CRSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14242 SW 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6791
Mailing Address - Country:US
Mailing Address - Phone:786-344-2978
Mailing Address - Fax:
Practice Address - Street 1:14242 SW 142ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6753
Practice Address - Country:US
Practice Address - Phone:786-344-2978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL016G101YA0400X
FL50865101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health