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NPI Code Detail

MEDICARE: LIANA CALDERIN LMHC

MEDICARE: LIANA CALDERIN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH15369FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174183537
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANA CALDERIN LMHC
Provider Business Mailing Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Provider Business Practice Location Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2019
Last Update Date : 12/20/2023

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Directions to “ LIANA CALDERIN LMHC” Practice Location

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