Provider Demographics
NPI:1427485937
Name:BARREIRA, EDITH MARIA
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:MARIA
Last Name:BARREIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9373 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2437
Mailing Address - Country:US
Mailing Address - Phone:305-519-8053
Mailing Address - Fax:
Practice Address - Street 1:11098 BISCAYNE BLVD STE 401-27
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7429
Practice Address - Country:US
Practice Address - Phone:305-972-4865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT 1927106H00000X
FLMT3377106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist