Healthcare Provider Details

I. General information

NPI: 1891615860
Provider Name (Legal Business Name): LORVELY PREVERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W OAKLAND PARK BLVD STE B102
SUNRISE FL
33351-6741
US

IV. Provider business mailing address

665 NE 85TH ST APT 3
MIAMI SHORES FL
33138-3571
US

V. Phone/Fax

Practice location:
  • Phone: 305-209-9788
  • Fax:
Mailing address:
  • Phone: 786-915-7648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: