Guerrero, Johanna W.

Guerrero, Johanna W. is an sole proprietor health care provider with primary practice located at 5190 Nw 167Th St Ste 215 , Miami Lakes FL 33014-6338. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Guerrero, Johanna W. can be contacted via phone (305) 456-4147.

Contact Information

Primary practice address
5190 Nw 167Th St Ste 215 Miami Lakes FL 33014-6338
Phone: (305) 456-4147
Fax: (305) 381-5292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33487 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 8056 Florida

Profile Details

NPI number 1790928281
LBN Legal business name Guerrero, Johanna W.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2009
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790928281 NPPES
Florida MEDICAID 021294400

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