Individual
MRS. LIZA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12030 SW 129TH CT STE 211, MIAMI, FL 33186-4584
(561) 716-6894
Mailing address
1011 BEECH TREE CV, MARYVILLE, TN 37801-2562
(561) 716-6894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2543
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004714100
—
FL
Enumeration date
07/25/2011
Last updated
01/04/2024
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