Organization Active NPI

Carmene Vazquez LLC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1407244635
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARMENE VAZQUEZ LLC
Practice address
3595 Sheridan St
Suite 105
Hollywood, FL 33021-3657
Phone
(305) 931-3845
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Carmene Vazquez, LMHC
Title
Owner
Phone
(305) 931-3845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

3595 Sheridan St
Suite 105
Hollywood, FL 33021-3657

Mailing address

3595 Sheridan St
Suite 105
Hollywood, FL 33021-3657
Phone (305) 931-3845

National Provider Directory

National Provider Directory

Locations

3595 Sheridan St
Ste 105
Hollywood, FL 33021
Phone (954) 367-4567

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1407244635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 SHERIDAN ST",
            "address_2": "SUITE 105",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213657",
            "telephone_number": "305-931-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 SHERIDAN ST",
            "address_2": "SUITE 105",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213657",
            "telephone_number": "305-931-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMENE VAZQUEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CARMENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-931-3845",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.