Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH13373 | FL |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | FL |
NPI | 1578168209 |
---|---|
Provider Name | Mrs. Luz Helena Llano |
First Address | Coral Gables, FL 33134-3010 |
Second Address | Coral Gables, FL 33134-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2020 |
Last Update Date | 01/12/2020 |