MARIYA MIRONOVA (NPI# 1134574817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134574817 |
| Entity Type | Individual |
| Full Name | MARIYA MIRONOVA |
| Practice Address |
3615 Central Ave Fort Myers FL 33901-8257 |
| Practice Telephone | 2392781140 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3615 CENTRAL AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104833847 | Patricia L Leonard | Social Worker | 3615 Central Ave, Suite 4, Fort Myers, FL 33901-8257 | 2006-08-02 |
| 1235520974 | Keri Malinoski | Counselor | 3615 Central Ave, Suite 4, Fort Myers, FL 33901-8257 | 2015-02-17 |
| 1821421165 | Lutheran Services Florida | Community/Behavioral Health | 3615 Central Ave, Fort Myers, FL 33901-8257 | 2013-08-09 |
| 1881839140 | Stuart B. Krost M.d. P.a. | Physician Assistant | 3615 Central Ave, Suite 3, Fort Myers, FL 33901-8257 | 2008-12-15 |
| 1336285634 | Lutheran Services Florida, Inc. | Counselor | 3615 Central Ave, Suite 4, Fort Myers, FL 33901-8257 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413305 | Shantell Pepe | Counselor | 4310 Metro Pkwy Ste 200, Fort Myers, FL 33916-9462 | 2020-09-29 |
| 1548879091 | Linda Ann Weaver | Counselor | 12811 Kenwood Ln Ste 202-213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1710502166 | Cornerstone Consultants | Counselor | 1344 Bradford Rd, Fort Myers, FL 33901-8804 | 2020-06-11 |
| 1053935981 | Timothy D Solomon | Counselor | 12557 New Brittany Blvd Ste 31-2, Fort Myers, FL 33907-3651 | 2020-06-06 |
| 1487275418 | Hofmann Counseling and Consulting, LLC. | Counselor | 8925 Beacon Street, Fort Myers, FL 33907-3390 | 2020-04-30 |
| 1760002927 | Angela Maria Molina | Counselor | 11932 Fairway Lakes Dr, Fort Myers, FL 33913-8337 | 2020-04-17 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1710512454 | Kelleen Marguerite Linden | Counselor | 12670 New Brittany Blvd Ste 204, Fort Myers, FL 33907-3650 | 2020-03-03 |
| 1194369355 | Mary Alice Robinson | Counselor | 4531 Deleon St Ste 206, Fort Myers, FL 33907-1280 | 2019-10-31 |
| 1942855580 | Susan Lee Bobrow | Counselor | 3049 Cleveland Ave Ste 295, Fort Myers, FL 33901-7054 | 2019-08-08 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on MARIYA MIRONOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.