MR. JUAN CARLOS LOPEZ, L.M.F.T. - NPI NUMBER 1912113796

Summary

Provider Name: MR. JUAN CARLOS LOPEZ, L.M.F.T.

NPI Number: 1912113796

Clasification: Marriage & Family Therapist (106H00000X)

Address:
365 NW 85TH CT
APT 12
MIAMI, FL
ZIP 33126

Phone Number: (305) 262-5785



Detailed Information

MR. Juan Carlos Lopez, L.M.F.T. is a marriage & family therapist in Miami, FL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. The assigned NPI number for this provider is 1912113796 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

365 NW 85TH CT
APT 12
MIAMI, FL
ZIP 33126-826
Phone: (305) 262-5785

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 106H00000X Marriage & Family Therapist MT2214 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1912113796
2 Entity Type Code 1
3 Provider Last Name Legal Name LOPEZ
4 Provider First Name JUAN
5 Provider Middle Name CARLOS
6 Provider Name Prefix Text MR.
7 Provider Credential Text L.M.F.T.
8 Provider First Line Business Practice Location Address 365 NW 85TH CT
9 Provider Second Line Business Practice Location Address APT 12
10 Provider Business Practice Location Address City Name MIAMI
11 Provider Business Practice Location Address State Name FL
12 Provider Business Practice Location Address Postal Code 331263826
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 3052625785
15 Provider Enumeration Date 5/16/2007
16 Last Update Date 7/8/2007
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 106H00000X
19 Provider License Number 1 MT2214
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.