Provider Demographics
NPI:1538511514
Name:MENDEZ, LIANET (LMHC)
Entity Type:Individual
Prefix:
First Name:LIANET
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LIANET
Other - Middle Name:
Other - Last Name:NIEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17588 SW 28TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5564
Mailing Address - Country:US
Mailing Address - Phone:754-216-8714
Mailing Address - Fax:888-886-7975
Practice Address - Street 1:1515 N UNIVERSITY DR STE 114A
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6084
Practice Address - Country:US
Practice Address - Phone:754-216-8714
Practice Address - Fax:888-886-7975
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13847101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health