Individual
MISS MAHALIA A DINZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC, MFT, CMHP
Contact information
Practice address
3828 E LAKE PL, MIRAMAR, FL 33023-4936
(954) 613-5957
Mailing address
3828 E LAKE PL, MIRAMAR, FL 33023-4936
(954) 613-5957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
12/03/2014
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