Healthcare Provider Details

I. General information

NPI: 1255981569
Provider Name (Legal Business Name): ALINA BARROSO LORENZO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

15420 SW 38TH TER
MIAMI FL
33185-4784
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-1022
  • Fax: 786-542-5326
Mailing address:
  • Phone: 786-474-8382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17867
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: