Provider Demographics
NPI:1538971114
Name:MAURIELLO, ANDRESSA MARIA CORREIA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ANDRESSA
Middle Name:MARIA CORREIA
Last Name:MAURIELLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4630 PORTOFINO WAY APT 206
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8155
Mailing Address - Country:US
Mailing Address - Phone:813-900-4361
Mailing Address - Fax:
Practice Address - Street 1:7520 NW 5TH ST STE 203
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1613
Practice Address - Country:US
Practice Address - Phone:754-837-1804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24883101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health