Provider Demographics
NPI:1740692771
Name:SANTOS NIEVES, YASIRIS
Entity type:Individual
Prefix:
First Name:YASIRIS
Middle Name:
Last Name:SANTOS NIEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YASIRIS
Other - Middle Name:
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:2521 13TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4103
Mailing Address - Country:US
Mailing Address - Phone:407-900-4885
Mailing Address - Fax:866-515-9293
Practice Address - Street 1:2521 13TH ST STE F
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4103
Practice Address - Country:US
Practice Address - Phone:407-900-4885
Practice Address - Fax:866-515-9293
Is Sole Proprietor?:No
Enumeration Date:2014-05-26
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health