Provider Demographics
NPI:1740623974
Name:JEAN-LOUIS, IZMANE N (LMHC)
Entity type:Individual
Prefix:
First Name:IZMANE
Middle Name:N
Last Name:JEAN-LOUIS
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 1:1361 NW 54TH TER
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6443
Mailing Address - Country:US
Mailing Address - Phone:954-449-3019
Mailing Address - Fax:
Practice Address - Street 1:1361 NW 54TH TER
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-6443
Practice Address - Country:US
Practice Address - Phone:954-449-3019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health