Provider Demographics
NPI:1982898284
Name:AROCHE, GLADYS (LMHC-S)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:
Last Name:AROCHE
Suffix:
Gender:F
Credentials:LMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5881 NW 151 ST SUITE 111
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2455
Mailing Address - Country:US
Mailing Address - Phone:305-440-8920
Mailing Address - Fax:305-631-3131
Practice Address - Street 1:5881 NW 151 ST SUITE 111
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2455
Practice Address - Country:US
Practice Address - Phone:305-440-8920
Practice Address - Fax:305-631-3131
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11451101YM0800X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017760700Medicaid