Provider Demographics
NPI:1972994861
Name:DURAND, ADA I (LMHC)
Entity type:Individual
Prefix:
First Name:ADA
Middle Name:
Last Name:DURAND
Suffix:I
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 NE 42ND PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5162
Mailing Address - Country:US
Mailing Address - Phone:305-302-0914
Mailing Address - Fax:
Practice Address - Street 1:975 NE 42ND PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-5162
Practice Address - Country:US
Practice Address - Phone:305-302-0914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8931172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker