Provider Demographics
NPI:1720234255
Name:MARTINEZ, CHINEZE JUAN (LMHC, CAP)
Entity Type:Individual
Prefix:
First Name:CHINEZE
Middle Name:JUAN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 ROSA L PARKS BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2621
Mailing Address - Country:US
Mailing Address - Phone:615-460-4112
Mailing Address - Fax:
Practice Address - Street 1:12651 S DIXIE HWY STE 308
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-5961
Practice Address - Country:US
Practice Address - Phone:305-219-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health