ANDREA WANZA (NPI# 1942722301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942722301 |
| Entity Type | Individual |
| Full Name | ANDREA WANZA |
| Credential | LMHC |
| Practice Address |
530 Nw 183rd St Miami Gardens FL 33169-4468 |
| Mailing Address |
1031 Ives Dairy Rd Ste 228 Miami FL 33179-2538 |
| Practice Telephone | 3056547251 |
| Practice Fax Number | 3056470203 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH14491 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | MH14491 | 01 |
| Street Address |
530 NW 183RD ST |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33169-4468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803144 | Empowering Youth Inc | Clinic/Center | 530 Nw 183rd St, Miami Gardens, FL 33169-4468 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109666 | Sashay Goodletty | Counselor | 21213 Nw 14th Pl Apt 321, Miami Gardens, FL 33169-7449 | 2019-11-23 |
| 1184278236 | Kemley Jean | Counselor | 1630 Nw 176th Ter, Miami Gardens, FL 33169-4643 | 2019-07-27 |
| 1770142226 | Jasmine Taylor | Counselor | 18512 Nw 23rd Ct, Miami Gardens, FL 33056-3235 | 2019-06-09 |
| 1992208284 | Chawntelle Monike Morman-shanks | Counselor | 20408 Nw 29th Pl, Miami Gardens, FL 33056-2020 | 2018-03-13 |
| 1508365453 | Krystle Williams | Counselor | 4230 Nw 172nd Dr, Miami Gardens, FL 33055-4435 | 2018-02-06 |
| 1164958542 | Chermora Johnson | Counselor | 1825 Nw 167th St # 102, Miami Gardens, FL 33056-4838 | 2017-05-04 |
| 1629527213 | Bridgette Vannessa Green | Counselor | 2020 Nw 187th St, Miami Gardens, FL 33056-2717 | 2016-09-24 |
| 1407151426 | Angel E Fernandez | Counselor | 4202 Nw 201st Ter, Miami Gardens, FL 33055-1314 | 2011-01-22 |
| 1073828554 | Sara Elysee | Counselor | 17801 Nw 2nd Ave Ste 213, Miami Gardens, FL 33169-5029 | 2010-08-09 |
| 1043448947 | Juline Allen | Counselor | 18540 Nw 22nd Ct, Miami Gardens, FL 33056-3213 | 2009-06-30 |
| Find all providers in MIAMI GARDENS | ||||
| City | MIAMI GARDENS |
| Zip Code | 33169 |
Please comment or provide details below to improve the information on ANDREA WANZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.