Provider Demographics
NPI:1912256397
Name:SILVERIO, JENNY (RMHCI)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:SILVERIO
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 SW 132ND CT STE 113
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6461
Mailing Address - Country:US
Mailing Address - Phone:786-587-9631
Mailing Address - Fax:305-964-7375
Practice Address - Street 1:12855 SW 136TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5827
Practice Address - Country:US
Practice Address - Phone:305-588-4143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12243103TC0700X, 103TC0700X
FL171M00000X
FLMH13383101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health