Doctor Name: | LOURDES ELVIRA RIOS |
NPI Number: | 1871913590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH12183 |
Business Practice Address: | 3326 Mary St Ste 402 Coconut Grove, FL - 331331900 |
Business Phone Number: | 7868665914 |
Business Fax Number: | |
Mailing Address: | 3326 Mary St Ste 402, COCONUT GROVE |
State: | FL |
Postal Code: | 331331900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH12183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |