Provider Demographics
NPI:1265556526
Name:SILEBI, CANDICE MARIA (LMHC)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:MARIA
Last Name:SILEBI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16499 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5205
Mailing Address - Country:US
Mailing Address - Phone:954-602-1075
Mailing Address - Fax:
Practice Address - Street 1:5753 MIAMI LAKES DR E
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2417
Practice Address - Country:US
Practice Address - Phone:305-403-0006
Practice Address - Fax:305-403-0007
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health