Healthcare Provider Details

I. General information

NPI: 1184010746
Provider Name (Legal Business Name): ANA MARIA LI-ROSI LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12368 SW 82ND AVE
PINECREST FL
33156
US

IV. Provider business mailing address

12368 SW 82ND AVE
PINECREST FL
33156-5223
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-5595
  • Fax: 305-259-6015
Mailing address:
  • Phone: 305-667-5595
  • Fax: 305-259-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: