Provider Demographics
NPI:1225823834
Name:PEREZ, MAYLEN NOELIA (LMHC)
Entity type:Individual
Prefix:
First Name:MAYLEN
Middle Name:NOELIA
Last Name:PEREZ
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21459 SW 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3768
Mailing Address - Country:US
Mailing Address - Phone:305-281-3988
Mailing Address - Fax:
Practice Address - Street 1:21459 SW 88TH AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3768
Practice Address - Country:US
Practice Address - Phone:305-281-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health