Provider Demographics
NPI:1932257532
Name:PAULA L PONCE LMHC, INC
Entity Type:Organization
Organization Name:PAULA L PONCE LMHC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:305-667-9910
Mailing Address - Street 1:1550 MADRUGA AVE
Mailing Address - Street 2:STE 305
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3039
Mailing Address - Country:US
Mailing Address - Phone:305-667-9910
Mailing Address - Fax:305-461-4122
Practice Address - Street 1:1514 SAN IGNACIO AVE
Practice Address - Street 2:STE 250
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3072
Practice Address - Country:US
Practice Address - Phone:305-667-9910
Practice Address - Fax:305-667-9913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty