Provider Demographics
NPI:1801452297
Name:MARTINEZ, DULCE MARIA (LMHC)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:MARIA
Last Name:MARTINEZ
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 1:180 E DANIA BEACH BLVD APT 414
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3050
Mailing Address - Country:US
Mailing Address - Phone:305-562-9086
Mailing Address - Fax:
Practice Address - Street 1:1801 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2790
Practice Address - Country:US
Practice Address - Phone:305-562-9086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-12
Last Update Date:2019-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16958101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health