GREDDER RIOS-LORENZO (NPI# 1649889106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649889106 |
Entity Type | Individual |
Full Name | GREDDER RIOS-LORENZO |
Credential | LMHC |
Practice Address |
4920 Lighthouse Cir Apt A Coconut Creek FL 33063-6927 |
Practice Telephone | 7874072036 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16927 | FL | Behavioral Health & Social Service Providers |
Street Address |
4920 LIGHTHOUSE CIR APT A |
City | COCONUT CREEK |
State | FL |
Zip Code | 33063-6927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
Find all providers in zip 33063 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249722 | Tracie Nicole Knowles | Counselor | 3501 Bimini Ln Apt M1, Coconut Creek, FL 33066-2653 | 2020-09-11 |
1548875479 | Nicole Patalano | Counselor | 5449 Wiles Rd Unit 6-310, Coconut Creek, FL 33073-4243 | 2020-09-08 |
1821627837 | Alexis Berman | Counselor | 6122 N State Road 7 Apt 205, Coconut Creek, FL 33073-3616 | 2020-04-02 |
1407317605 | Errol Ricardo Forbes | Counselor | 4193 Nw 54th St, Coconut Creek, FL 33073-4001 | 2019-03-29 |
1063902658 | Hayley Wilson Kirchoff | Counselor | 5343 Nw 48th St, Coconut Creek, FL 33073-3317 | 2018-05-18 |
1740641216 | Dee Ross Franklin | Counselor | 7700 Nw48th Avenue, Coconut Creek, FL 33073 | 2016-03-11 |
1689074932 | Mark Lichtenberg | Counselor | 4097 Nw 22nd St, Coconut Creek, FL 33066-2042 | 2014-08-22 |
1295151694 | Nancy Ellen Bein | Counselor | 2767 Carambola Cir S, 206, Coconut Creek, FL 33066-2302 | 2014-03-10 |
1477801058 | Toni Estergall | Counselor | 7631 Nw 47th Ave, Coconut Creek, FL 33073-2722 | 2012-08-29 |
1508151713 | Michael Jacob Weisberg | Counselor | 5580 Nw 61st St Apt 627, Coconut Creek, FL 33073-2522 | 2011-06-15 |
Find all providers in COCONUT CREEK |
City | COCONUT CREEK |
Zip Code | 33063 |
Please comment or provide details below to improve the information on GREDDER RIOS-LORENZO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.