Pena, Edda

Pena, Edda is an individual health care provider with primary practice located at 11440 N. Kendall Drive Suite 208, Miami FL 33176-1024. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pena, Edda can be contacted via phone (888) 852-6672.

Contact Information

Primary practice address
11440 N. Kendall Drive Suite 208 Miami FL 33176-1024
Phone: (888) 852-6672
Fax: (305) 279-2742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4002 Florida

Profile Details

NPI number 1750379251
LBN Legal business name Pena, Edda
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750379251 NPPES
Florida MEDICAID 002409900

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