Provider Demographics
NPI:1386441285
Name:MATTYS, RINA YOLANDA (LMHC)
Entity type:Individual
Prefix:
First Name:RINA
Middle Name:YOLANDA
Last Name:MATTYS
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 1:2852 CROSLEY DR W
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-8637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4000 HOLLYWOOD BLVD STE 715S
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6755
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:954-251-0451
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24847101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health