Provider Demographics
NPI:1962621508
Name:MILAGROS HUBERMAN,L.M.H.C.,N.C.C., P.A.
Entity type:Organization
Organization Name:MILAGROS HUBERMAN,L.M.H.C.,N.C.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,NCC
Authorized Official - Phone:305-409-7052
Mailing Address - Street 1:PO BOX 601173
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-1173
Mailing Address - Country:US
Mailing Address - Phone:305-409-7052
Mailing Address - Fax:
Practice Address - Street 1:350 NW 70TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2349
Practice Address - Country:US
Practice Address - Phone:954-587-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 3927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL762463800Medicaid
42949OtherNATIONAL CERTIFIED COUNSE
FLMH 3927OtherLICENSED MENTAL HEALTH