Provider Demographics
NPI:1477759231
Name:SEGHI, LAYA FIRESTONE (LCSW)
Entity type:Individual
Prefix:
First Name:LAYA
Middle Name:FIRESTONE
Last Name:SEGHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FOXFIRE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2810
Mailing Address - Country:US
Mailing Address - Phone:305-672-8807
Mailing Address - Fax:
Practice Address - Street 1:640 NE 124TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5523
Practice Address - Country:US
Practice Address - Phone:305-672-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW28951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4717Medicare ID - Type Unspecified