Provider / Organization | NPI | Date Certified |
---|---|---|
LUZ IDANIS IGLESIAS | 1104674381 | 2024-05-11 |
Luz Idanis Iglesias is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104674381. Registration indicates Luz Idanis Iglesias is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Pastoral, ) (Counselor Pastoral, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Mrs. Luz Idanis Iglesias |
Practice Office Address | 414 QUIET WOODS CT PASADENA, MD US |
Practice Office Telephone | 4439423402 |
Mailing Address | 414 QUIET WOODS CT PASADENA, MD 211227517 US |
Business Telephone | 4439423402 |
Code | Practice | License No State |
---|---|---|
101YP1600X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Pastoral Counselor Pastoral Behavioral Health & Social Service Providers Counselor |