Provider Demographics
NPI:1427100809
Name:SUAREZ, RAQUEL ESPINEL (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:ESPINEL
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 S DIXIE HWY
Mailing Address - Street 2:SUITE 1109
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2927
Mailing Address - Country:US
Mailing Address - Phone:305-662-2686
Mailing Address - Fax:305-631-2152
Practice Address - Street 1:1390 S DIXIE HWY
Practice Address - Street 2:SUITE 1109
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2927
Practice Address - Country:US
Practice Address - Phone:305-662-2686
Practice Address - Fax:305-631-2152
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL44541101YM0800X
NC4833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional