MEDICARE: LISSET INFANTE 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	MH22265	FL

General Provider Information

NPI Number	:	1629757802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISSET INFANTE LMHC

Provider Business Mailing Address
First Line	:	14321 SW 45TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6844
Country	:	US
Telephone Number	:	305-742-3362
Fax Number	:

Provider Business Practice Location Address
First Line	:	14321 SW 45TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6844
Country	:	US
Telephone Number	:	305-742-3362
Fax Number	:

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

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	02/08/2024

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Directions to “ LISSET INFANTE LMHC” Practice Location

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