Provider Demographics
NPI:1235485285
Name:LOURDES BARRIOS, MS, LMHC PA
Entity Type:Organization
Organization Name:LOURDES BARRIOS, MS, LMHC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-200-6110
Mailing Address - Street 1:9010 SW 137TH AVE
Mailing Address - Street 2:SUITE 228
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1413
Mailing Address - Country:US
Mailing Address - Phone:796-200-6110
Mailing Address - Fax:786-953-4773
Practice Address - Street 1:9010 SW 137TH AVE
Practice Address - Street 2:SUITE 228
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1413
Practice Address - Country:US
Practice Address - Phone:796-200-6110
Practice Address - Fax:786-953-4773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty