Healthcare Provider Details

I. General information

NPI: 1669384889
Provider Name (Legal Business Name): ISABELLA KIZER LEKACH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 NE 183RD ST APT 1601
AVENTURA FL
33160-2593
US

IV. Provider business mailing address

3201 NE 183RD ST APT 1601
AVENTURA FL
33160-2593
US

V. Phone/Fax

Practice location:
  • Phone: 786-385-7477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: