Organization
BRENDA KARINA LOPEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA KARINA LOPEZ LLC LCSW (OWNER/MANAGER)
(813) 217-1029
Entity
Organization
Contact information
Practice address
38040 DAUGHTERY RD, ZEPHYRHILLS, FL 33540-1375
(813) 713-6499
(877) 544-7007
Mailing address
PO BOX 2766, ZEPHYRHILLS, FL 33539-2766
(813) 217-1029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW11658
FL
101YM0800X
Mental Health Counselor
SW11658
FL
104100000X
Social Worker
SW11658
FL
1041C0700X
Clinical Social Worker
Primary
SW11658
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/24/2016
Last updated
08/08/2023
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