Provider Demographics
NPI:1669901344
Name:DOCARMO, LORENA V (MASTER IN SCIENSE)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:V
Last Name:DOCARMO
Suffix:
Gender:F
Credentials:MASTER IN SCIENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 NW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4827
Mailing Address - Country:US
Mailing Address - Phone:954-608-4198
Mailing Address - Fax:
Practice Address - Street 1:18503 PINES BLVD STE 308
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1406
Practice Address - Country:US
Practice Address - Phone:954-239-8959
Practice Address - Fax:954-391-7602
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health