Individual
CAROLYN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 S UNIVERSITY DR, DAVIE, FL 33328-5307
(954) 276-3400
(954) 965-6444
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120319300
—
FL
Enumeration date
01/22/2021
Last updated
02/28/2024
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