Sharon Khalil, RMHCI
Individual provider Active NPI Counselor · Coconut Grove, FL
NPI 1497517197 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1497517197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- IMH2526 (FL)
- Practice address
- 2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133-2740 - Phone
- (305) 646-0112
- Fax
- (305) 646-0113
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH2526 | FL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMH2526 | FL | Yes |
Addresses
Primary practice location
2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133-2740
Mailing address
420 Tivoli Ave
Coral Gables, FL 33143-6345
Phone (305) 753-1872
Other providers in Coconut Grove, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.