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De Mia Longchamp, CCS
Mental Health Counselor in Opa Locka, Florida
NPI 1992300941

De Mia Longchamp is a Mental Health Counselor based in Opa Locka, FL and is specialized in Mental Health. De Mia Longchamp practices in Opa Locka, FL and has the professional credentials of CCS. The NPI Number for De Mia Longchamp is 1992300941 and holds a License No. (Florida).

The current practice location address for De Mia Longchamp is 2415 Nw 162Nd St, Opa Locka, FL and can be reached out via phone at 786-812-2578.

Location: 2415 Nw 162Nd St, Opa Locka, FL, 33054-6541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992300941
Provider Name
De Mia Longchamp
Credential
CCS
Provider Entity Type
Individual
Gender
Female
Address
2415 Nw 162Nd St, Opa Locka, FL, 33054-6541
Phone Number
786-812-2578
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L525178789180 05 FL
institution
Provider Business Practice Location Address Details
Address
2415 Nw 162Nd St
City
Opa Locka
State
Florida
Zip
33054-6541
Phone Number
786-812-2578
Fax Number
person
Provider Business Mailing Address Details
Address
2415 Nw 162Nd St
City
Opa Locka
State
Florida
Zip
33054-6541
Phone Number
786-812-2578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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