Provider Demographics
NPI:1265110308
Name:PINEDA, KATIA (LMFT)
Entity type:Individual
Prefix:
First Name:KATIA
Middle Name:
Last Name:PINEDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 COLLINS AVE STE CU8
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-5522
Mailing Address - Country:US
Mailing Address - Phone:786-401-4700
Mailing Address - Fax:
Practice Address - Street 1:5445 COLLINS AVE STE CU8
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-5522
Practice Address - Country:US
Practice Address - Phone:786-401-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4378106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist