Provider Demographics
NPI:1073314548
Name:DASILVA, CRISTINA (MHCI)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:DASILVA
Suffix:
Gender:
Credentials:MHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 ISLAND BLVD APT 1207
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2471
Mailing Address - Country:US
Mailing Address - Phone:305-333-0875
Mailing Address - Fax:
Practice Address - Street 1:20900 NE 30TH AVE STE 200-17
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2157
Practice Address - Country:US
Practice Address - Phone:305-333-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty