Provider Demographics
NPI:1710382197
Name:BARTRON, XIOMARA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:XIOMARA
Middle Name:
Last Name:BARTRON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:XIOMARA
Other - Middle Name:
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1120 NW 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4217
Mailing Address - Country:US
Mailing Address - Phone:954-249-6303
Mailing Address - Fax:
Practice Address - Street 1:10014 N DALE MABRY HWY STE C-100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4426
Practice Address - Country:US
Practice Address - Phone:800-892-0640
Practice Address - Fax:800-892-0648
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH11610101YM0800X
FLMH 14083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health