Provider Demographics
NPI:1467338392
Name:UTRERA, TAHLIA MARTA (LMHC)
Entity type:Individual
Prefix:MS
First Name:TAHLIA
Middle Name:MARTA
Last Name:UTRERA
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 1:4270 SW 2ND TER
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1712
Mailing Address - Country:US
Mailing Address - Phone:305-798-3868
Mailing Address - Fax:305-798-3868
Practice Address - Street 1:12360 SW 132ND CT
Practice Address - Street 2:STE 113
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6461
Practice Address - Country:US
Practice Address - Phone:305-588-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH26317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health