Provider Demographics
NPI:1194458208
Name:AMEJEIRAS, KRISNIA (MSC)
Entity type:Individual
Prefix:
First Name:KRISNIA
Middle Name:
Last Name:AMEJEIRAS
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10854 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-8406
Mailing Address - Country:US
Mailing Address - Phone:786-261-8107
Mailing Address - Fax:
Practice Address - Street 1:3498 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4014
Practice Address - Country:US
Practice Address - Phone:786-332-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health