| Doctor Name: | MS. CARMENE VAZQUEZ |
| NPI Number: | 1063731859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | MH8861 |
| Business Practice Address: | 1065 Ne 125th St Ste 206 North Miami, FL - 331615821 |
| Business Phone Number: | 8888526672 |
| Business Fax Number: | 3058914228 |
| Mailing Address: | 2801 Ne 183rd St, Suite 216 AVENTURA |
| State: | FL |
| Postal Code: | 331602100 |
| Phone Number: | 3059313845 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2010 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH8861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |