Provider Demographics
NPI:1861751752
Name:ABONDANO, XIMENA (RN LMHC)
Entity type:Individual
Prefix:MS
First Name:XIMENA
Middle Name:
Last Name:ABONDANO
Suffix:
Gender:F
Credentials:RN LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19300 W DIXIE HIGHWAY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-965-2807
Mailing Address - Fax:
Practice Address - Street 1:19300 W DIXIE HIGHWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-965-2807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10963101YM0800X
FLRN9339654163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse