Provider Demographics
NPI:1881941979
Name:LOPEZ, BARBIE CASALES (LMHC)
Entity type:Individual
Prefix:
First Name:BARBIE
Middle Name:CASALES
Last Name:LOPEZ
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 1:1860 SW FOUNTAINVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-4535
Mailing Address - Country:US
Mailing Address - Phone:239-289-9796
Mailing Address - Fax:
Practice Address - Street 1:1860 SW FOUNTAINVIEW BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-4535
Practice Address - Country:US
Practice Address - Phone:239-289-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health