Provider Demographics
NPI:1821477837
Name:LLUCH, ANNALIE (RMHC)
Entity Type:Individual
Prefix:
First Name:ANNALIE
Middle Name:
Last Name:LLUCH
Suffix:
Gender:F
Credentials:RMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 SW 8TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2287
Mailing Address - Country:US
Mailing Address - Phone:395-764-9756
Mailing Address - Fax:
Practice Address - Street 1:5545 SW 8TH ST STE 206
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2287
Practice Address - Country:US
Practice Address - Phone:395-764-9756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health