Provider Demographics
NPI:1679023816
Name:SILVESTRE, MANUEL (LMHC, MCAP)
Entity type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:
Last Name:SILVESTRE
Suffix:
Gender:M
Credentials:LMHC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8780 SW 92ND ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2461
Mailing Address - Country:US
Mailing Address - Phone:786-596-6986
Mailing Address - Fax:786-533-9571
Practice Address - Street 1:8780 SW 92ND ST
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2461
Practice Address - Country:US
Practice Address - Phone:786-596-6986
Practice Address - Fax:786-533-9571
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-99576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health