Provider Demographics
NPI:1831973312
Name:BARRIOS ORTEGA, YALENA (CBHCMS)
Entity type:Individual
Prefix:
First Name:YALENA
Middle Name:
Last Name:BARRIOS ORTEGA
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15260 SW 280TH ST STE 113
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8186
Mailing Address - Country:US
Mailing Address - Phone:786-768-0200
Mailing Address - Fax:
Practice Address - Street 1:15260 SW 280TH ST STE 113
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8186
Practice Address - Country:US
Practice Address - Phone:786-768-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker