Provider Demographics
NPI:1265774558
Name:FLORES, ELIZABETH E (LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:FLORES
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 1:16620 NW 77TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3432
Mailing Address - Country:US
Mailing Address - Phone:305-781-9753
Mailing Address - Fax:
Practice Address - Street 1:6065 NW 167TH ST STE B19
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4394
Practice Address - Country:US
Practice Address - Phone:305-781-9753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor