Provider Demographics
NPI:1780900035
Name:YOUNG, CRISTIANE LIMA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:CRISTIANE
Middle Name:LIMA
Last Name:YOUNG
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 1:2342 NW 34TH TER
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2250
Mailing Address - Country:US
Mailing Address - Phone:954-829-2851
Mailing Address - Fax:
Practice Address - Street 1:8333 W MCNAB RD STE 212
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3203
Practice Address - Country:US
Practice Address - Phone:585-582-6234
Practice Address - Fax:954-720-1009
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC 7065101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health