Provider Demographics
NPI:1972605483
Name:LEAL, EDUARDO (LMFT, PSYD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:LEAL
Suffix:
Gender:M
Credentials:LMFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 IVES DAIRY RD STE 228
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2538
Mailing Address - Country:US
Mailing Address - Phone:786-306-5534
Mailing Address - Fax:305-749-6369
Practice Address - Street 1:1031 IVES DAIRY RD STE 240
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2521
Practice Address - Country:US
Practice Address - Phone:786-306-5534
Practice Address - Fax:305-749-6369
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2528106H00000X
FLPY11342103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical