Organization
L & L MENTAL MEDICAL & SOCIAL SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIHANNA FUNDORA PSYD (CEO)
(786) 830-2984
Entity
Organization
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
103T00000X
Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/22/2025
Last updated
04/23/2025
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