Individual
LIHANNA FUNDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 E 9TH ST APT 105, HIALEAH, FL 33010-4571
(786) 830-2984
Mailing address
710 E 9TH ST APT 105, HIALEAH, FL 33010-4571
(786) 830-2984
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
20240617269155
WA
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/07/2025
Last updated
04/23/2025
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