Provider Demographics
NPI:1427244227
Name:ARAUZ-MARTINEZ, VIVIAN IRENE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:IRENE
Last Name:ARAUZ-MARTINEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16800 SW 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4883
Mailing Address - Country:US
Mailing Address - Phone:786-252-5584
Mailing Address - Fax:
Practice Address - Street 1:16800 SW 78TH AVE
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-4883
Practice Address - Country:US
Practice Address - Phone:786-252-5584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1781106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist