Provider Demographics
NPI:1578750113
Name:KRUSZEL, LILIANA BERTA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:BERTA
Last Name:KRUSZEL
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 1:782 NW 42ND AVE
Mailing Address - Street 2:#540
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5541
Mailing Address - Country:US
Mailing Address - Phone:305-444-6091
Mailing Address - Fax:
Practice Address - Street 1:3178 NW 61ST ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-3365
Practice Address - Country:US
Practice Address - Phone:561-789-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4950101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health