Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariela De Lourdes Fantauzzi

Individual provider Mental Health Counselor · NPI 1689984809

Mariela De Lourdes Fantauzzi is a Mental Health Counselor in West Palm Beach, Florida. Qualified in 2008, 18 years ago. Practices with Brave Health Inc, a 113-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2010
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Practice location Address checks out

255 Evernia St Apt 1516
West Palm Beach, FL 33401-5691
Phone: (787) 908-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 Urb Las Margaritas, Isabela, PR 00662-2212 — (787) 640-0770

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH16747 (FL)

Record details

NPI number1689984809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2010
Last updated in NPPESMarch 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Brave Health Inc. — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Palm Beach