Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mirella Carla Ezeta, PSYD

Individual provider Mental Health Counselor · NPI 1285941690

MS. Mirella Carla Ezeta, PSYD is a Mental Health Counselor in Ft Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3521 W Broward Blvd
Ft Lauderdale, FL 33312-1048
Phone: (954) 587-1008
Fax: (954) 587-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9210 (FL)

Record details

NPI number1285941690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 7, 2010
Last updated in NPPESSeptember 8, 2010

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