Silvia Galvis Lundstrom, PHD LMHC

Individual provider Active NPI Mental Health Counselor · Bay Harbor Islands, FL

NPI 1932255643 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932255643
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH2420 (FL)
Practice address
1045 Kane Concourse
Suite 215
Bay Harbor Islands, FL 33154
Phone
(305) 866-2242
Fax
(305) 866-8838
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240802000109 FL Practitioner - Mental Health Counselor 8820535370 Practice locations: Sunny Isles Beach, FL

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH2420FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2420 FL Yes

Addresses

Primary practice location

1045 Kane Concourse
Suite 215
Bay Harbor Islands, FL 33154

Mailing address

PO Box 546821
Surfside, FL 33154
Phone (305) 866-2242

Other identifiers

IdentifierTypeStateIssuer
MH2420OtherFLLMHC

Other providers in Bay Harbor Islands, FL

All providers in Bay Harbor Islands, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.