Provider Demographics
NPI:1194090712
Name:PREVAL, HERVE (MBA, MS, LMHC)
Entity type:Individual
Prefix:MR
First Name:HERVE
Middle Name:
Last Name:PREVAL
Suffix:
Gender:M
Credentials:MBA, MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9628 NE 2ND AVE STE 210E
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2748
Mailing Address - Country:US
Mailing Address - Phone:786-281-3935
Mailing Address - Fax:754-260-1640
Practice Address - Street 1:9628 NE 2ND AVE STE 210E
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2748
Practice Address - Country:US
Practice Address - Phone:786-281-3935
Practice Address - Fax:754-260-1640
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health