Provider Demographics
NPI:1902573116
Name:BARCELO, PETER JR (LMHC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:BARCELO
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 NW 13TH ST APT F
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2049
Mailing Address - Country:US
Mailing Address - Phone:305-761-0408
Mailing Address - Fax:
Practice Address - Street 1:2801 NW 13TH ST APT F
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2049
Practice Address - Country:US
Practice Address - Phone:305-761-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty