Provider Demographics
NPI:1871722744
Name:KALFUS, JOAN (LMHC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:KALFUS
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 1:952 NE 199TH ST
Mailing Address - Street 2:STE 110
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3077
Mailing Address - Country:US
Mailing Address - Phone:305-206-7087
Mailing Address - Fax:305-653-0506
Practice Address - Street 1:1031 IVES DAIRY RD
Practice Address - Street 2:STE 228
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2538
Practice Address - Country:US
Practice Address - Phone:305-206-7087
Practice Address - Fax:305-653-0506
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3160101YA0400X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist