MEDICARE: LOURDES BARRERA AMADOR 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
1	101YM0800X	Mental Health Counselor	MH11635	FL
2	103K00000X	Behavior Analyst	MH11635	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1437405065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES BARRERA AMADOR LMHC

Provider Business Mailing Address
First Line	:	1931 NW 150TH AVE STE 119
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2873
Country	:	US
Telephone Number	:	786-510-0667
Fax Number	:	866-223-5131

Provider Business Practice Location Address
First Line	:	1931 NW 150TH AVE STE 119
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2873
Country	:	US
Telephone Number	:	786-510-0667
Fax Number	:	866-223-5131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	05/05/2025

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