Silva, Mylene Mayumi

Silva, Mylene Mayumi is an sole proprietor health care provider with primary practice located at 615 105Th Ln N , St Petersburg FL 33716-3805. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Silva, Mylene Mayumi can be contacted via phone (502) 724-0858.

Contact Information

Primary practice address
615 105Th Ln N St Petersburg FL 33716-3805
Phone: (502) 724-0858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 292200 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X CBHCMS100485 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 12438 Florida

Profile Details

NPI number 1588940670
LBN Legal business name Silva, Mylene Mayumi
Credentials LMHC, NCC, CBHCMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2011
Last updated Mar 1st, 2018 - about 6 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 1588940670 NPPES
Florida MEDICAID 012215100

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