Provider Demographics
NPI:1396461562
Name:AIME, ROSENA (COUNSELOR)
Entity type:Individual
Prefix:
First Name:ROSENA
Middle Name:
Last Name:AIME
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 COTTON BAY DR E APT 2015
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-9124
Mailing Address - Country:US
Mailing Address - Phone:561-797-7970
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:934 COTTON BAY DR E APT 2015
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-9124
Practice Address - Country:US
Practice Address - Phone:561-797-7970
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health