Healthcare Provider Details

I. General information

NPI: 1578168209
Provider Name (Legal Business Name): LUZ HELENA LLANO MS, LMHC, CAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 PONCE DE LEON BLVD
CORAL GABLES FL
33134-3010
US

IV. Provider business mailing address

932 PONCE DE LEON BLVD
CORAL GABLES FL
33134-3010
US

V. Phone/Fax

Practice location:
  • Phone: 305-999-5251
  • Fax:
Mailing address:
  • Phone: 305-999-5251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13373
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: