Individual
ANA C GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
6625 MIAMI LAKES DR STE 406, MIAMI LAKES, FL 33014-2704
(305) 457-1036
Mailing address
3410 CORAL WAY, APT 502, MIAMI, FL 33145-3079
(305) 457-1036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MH12789
FL
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
MH12789
FL
Other
Enumeration date
03/13/2009
Last updated
11/29/2016
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