Provider Demographics
NPI:1790531903
Name:LOPEZ REYNA, KARIN GABRIELA (LMHC, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:GABRIELA
Last Name:LOPEZ REYNA
Suffix:
Gender:F
Credentials:LMHC, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 SW 77TH AVE APT T6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7982
Mailing Address - Country:US
Mailing Address - Phone:615-800-0947
Mailing Address - Fax:
Practice Address - Street 1:9456 SW 77TH AVE APT T6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7982
Practice Address - Country:US
Practice Address - Phone:615-800-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6472101YM0800X
FLMH23691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health