Provider Demographics
NPI:1790986107
Name:MARRERO, LILLIAM MARIA (LMHC, CAP)
Entity Type:Individual
Prefix:
First Name:LILLIAM
Middle Name:MARIA
Last Name:MARRERO
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 NE 183RD ST APT 1005
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2130
Mailing Address - Country:US
Mailing Address - Phone:305-937-0131
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 183RD ST APT 1005
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2130
Practice Address - Country:US
Practice Address - Phone:305-937-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 2431L101YA0400X
FLMH 6670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health