Provider Demographics
NPI:1699056770
Name:SMATRAKALEVA, NONA GEORGIEVA
Entity type:Individual
Prefix:MS
First Name:NONA
Middle Name:GEORGIEVA
Last Name:SMATRAKALEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 N ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-1409
Mailing Address - Country:US
Mailing Address - Phone:954-998-3971
Mailing Address - Fax:
Practice Address - Street 1:2050 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-1409
Practice Address - Country:US
Practice Address - Phone:954-998-3971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17770101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health