Provider Demographics
NPI:1447871074
Name:HURTADO, YAHOSCA JUNIETTE (LMHC)
Entity type:Individual
Prefix:MISS
First Name:YAHOSCA
Middle Name:JUNIETTE
Last Name:HURTADO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 SW 153RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1783
Mailing Address - Country:US
Mailing Address - Phone:786-246-4962
Mailing Address - Fax:
Practice Address - Street 1:7925 SW 153RD PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1783
Practice Address - Country:US
Practice Address - Phone:786-246-4962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17215101YM0800X
FL1-24-71173103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty