Provider Demographics
NPI:1063807535
Name:BARROSO, ROSA (LMHC)
Entity type:Individual
Prefix:MS
First Name:ROSA
Middle Name:
Last Name:BARROSO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:
Other - Last Name:BARROSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:8004 NW 154TH ST # 418
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5814
Mailing Address - Country:US
Mailing Address - Phone:305-530-8119
Mailing Address - Fax:
Practice Address - Street 1:8004 NW 154TH ST # 418
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5814
Practice Address - Country:US
Practice Address - Phone:305-530-8119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 12983101YM0800X
FL14670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health