Provider Demographics
NPI:1750528063
Name:PENARANDA, YOHAN ULISES (LMHC)
Entity type:Individual
Prefix:
First Name:YOHAN
Middle Name:ULISES
Last Name:PENARANDA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5939 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3324
Mailing Address - Country:US
Mailing Address - Phone:786-226-7738
Mailing Address - Fax:
Practice Address - Street 1:11055 SW 186TH ST STE 306
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6843
Practice Address - Country:US
Practice Address - Phone:786-226-7738
Practice Address - Fax:786-688-2483
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 106H00000X
FLMH24912101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist