Provider Demographics
NPI:1134674641
Name:MARTORELL, ADA LISA (LMHC)
Entity Type:Individual
Prefix:
First Name:ADA LISA
Middle Name:
Last Name:MARTORELL
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 1:5340 N FEDERAL HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7058
Mailing Address - Country:US
Mailing Address - Phone:954-771-8300
Mailing Address - Fax:954-771-4002
Practice Address - Street 1:5340 N FEDERAL HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7058
Practice Address - Country:US
Practice Address - Phone:954-771-8300
Practice Address - Fax:954-771-4002
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health