Provider Demographics
NPI:1710103981
Name:MONZON, MERCEDES (LMHC)
Entity type:Individual
Prefix:MS
First Name:MERCEDES
Middle Name:
Last Name:MONZON
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 NW 136TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2610
Mailing Address - Country:US
Mailing Address - Phone:786-266-5803
Mailing Address - Fax:
Practice Address - Street 1:1002 NW 136TH CT
Practice Address - Street 2:MERCE Y OLE LLC
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2610
Practice Address - Country:US
Practice Address - Phone:786-266-5803
Practice Address - Fax:786-266-5803
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
BCBA-1-21-56175103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017506300Medicaid