Provider Demographics
NPI:1477140150
Name:LOPEZ, LUGANNYS MARGARITA (LMHC)
Entity Type:Individual
Prefix:
First Name:LUGANNYS
Middle Name:MARGARITA
Last Name:LOPEZ
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 1:8249 SW 149TH CT APT 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3103
Mailing Address - Country:US
Mailing Address - Phone:305-613-1586
Mailing Address - Fax:
Practice Address - Street 1:8249 SW 149TH CT APT 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3103
Practice Address - Country:US
Practice Address - Phone:305-613-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health