Provider Demographics
NPI:1619009057
Name:BARRIOS, LOURDES (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:
Last Name:BARRIOS
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 1:14952 SW 30TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4842
Mailing Address - Country:US
Mailing Address - Phone:786-200-6110
Mailing Address - Fax:
Practice Address - Street 1:13500 SW 88TH ST
Practice Address - Street 2:SUITE 245
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1515
Practice Address - Country:US
Practice Address - Phone:786-200-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH792OtherPROFESONAL LICENSE