Manuela Lynn Despian, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4116 Issued in FL

Practice address

3785 NW 82ND Ave Ste 206
Doral, FL 33166-6630

Phone

(305) 936-8000

Fax

(305) 936-0419

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1033886346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331666955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE STE 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666630",
            "telephone_number": "305-936-8000",
            "fax_number": "305-936-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPIAN",
        "first_name": "MANUELA",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "1276829",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Network Solutions of Central Florida, LLC
• Dermatology Network Solutions of South Florida II, LLC
• Dermatology Network Solutions of South Florida, LLC
• Marianna Derrico, APRN
• Jean Deschamps
• Michelle D Detweiler, DPM
• Elizabeth Deuloffeu
• Developing New Horizons
• Maria Gabriela Devera, MA, PHLEBOTOMIST
• DGP Health & Wellness Corp

• Marriage & Family Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.