Healthcare Provider Details

I. General information

NPI: 1750151981
Provider Name (Legal Business Name): LIDIANA CARTOLANO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 N FEDERAL HWY STE 200
BOCA RATON FL
33487-4908
US

IV. Provider business mailing address

5301 N FEDERAL HWY STE 200
BOCA RATON FL
33487-4908
US

V. Phone/Fax

Practice location:
  • Phone: 561-759-7519
  • Fax:
Mailing address:
  • Phone: 561-759-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: