Provider Demographics
NPI:1356216493
Name:ASTRID PENA LLC
Entity type:Organization
Organization Name:ASTRID PENA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:PENA PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-975-0966
Mailing Address - Street 1:11605 NW 89TH ST APT 225
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1786
Mailing Address - Country:US
Mailing Address - Phone:786-975-0966
Mailing Address - Fax:
Practice Address - Street 1:11605 NW 89TH ST APT 225
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1786
Practice Address - Country:US
Practice Address - Phone:786-975-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty