GRETTEL CARBALLO LMHC NPI 1073185864

NPI Information

NPI: 1073185864
Provider Name: GRETTEL CARBALLO, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
18503 PINES BLVD STE 308
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 239-8959
Get Directions

Grettel Carballo, LMHC is a mental health counselor in Pembroke Pines, FL. Grettel Carballo, LMHC NPI is 1073185864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18503 PINES BLVD STE 308
PEMBROKE PINES, FL
ZIP 33029-406
Phone: (954) 239-8959

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		MH19055		No
2	101YM0800X	Counselor	Mental Health	MH19055	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MH19055	OTHER		LMHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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