Provider Demographics
NPI:1649866930
Name:LORENZO-ECHEVERRI, LIANA NICOLE (LMFT, DMFT)
Entity type:Individual
Prefix:
First Name:LIANA
Middle Name:NICOLE
Last Name:LORENZO-ECHEVERRI
Suffix:
Gender:F
Credentials:LMFT, DMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 ZENITH WAY
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2318
Mailing Address - Country:US
Mailing Address - Phone:954-684-9663
Mailing Address - Fax:
Practice Address - Street 1:11011 SHERIDAN ST STE 211
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1531
Practice Address - Country:US
Practice Address - Phone:754-900-1196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty