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NPI Code Detail

MEDICARE: LOURDES PATRICIA SANTIAGO LMHC

MEDICARE:   LOURDES PATRICIA SANTIAGO  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
1103TP2701XGroup Psychotherapy PsychologistMH20923FL
2101YM0800XMental Health CounselorMH20923FL

General Provider Information

NPI Number : 1598498834
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOURDES PATRICIA SANTIAGO LMHC
Provider Business Mailing Address
First Line : 1806 N FLAMINGO RD STE 339
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1038
Country : US
Telephone Number : 786-277-5208
Fax Number :
Provider Business Practice Location Address
First Line : 1806 N FLAMINGO RD STE 339
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1038
Country : US
Telephone Number : 786-277-5208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 06/11/2025

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Directions to “ LOURDES PATRICIA SANTIAGO LMHC” Practice Location

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