Provider Demographics
NPI:1053099820
Name:DELMORAL, SHIRLEY CAROLINA (LMHC)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:CAROLINA
Last Name:DELMORAL
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 1:9756 NW 127TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7402
Mailing Address - Country:US
Mailing Address - Phone:305-586-2235
Mailing Address - Fax:
Practice Address - Street 1:2225 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-3922
Practice Address - Country:US
Practice Address - Phone:954-551-1989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health