| Kelli Richard-lopez Lcsw | |
|
2969 Oak Park Cir Davie FL 33328-6727 | |
| (954) 290-9320 | |
| Not Available |
| Full Name | Kelli Richard-lopez Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2969 Oak Park Cir, Davie, Florida |
| Authorized Official Name and Position | Kelli Richard Lopez (OWNER) |
| Authorized Official Contact | 9542909320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Richard-lopez Lcsw 2969 Oak Park Cir Davie FL 33328-6727 Ph: (954) 290-9320 | Kelli Richard-lopez Lcsw 2969 Oak Park Cir Davie FL 33328-6727 Ph: (954) 290-9320 |
| NPI Number | 1538896881 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538896881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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