Provider Demographics
NPI:1144035817
Name:LIFERZA COUNSELING
Entity type:Organization
Organization Name:LIFERZA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-350-3460
Mailing Address - Street 1:8967 WHITE SAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-6408
Mailing Address - Country:US
Mailing Address - Phone:941-447-3583
Mailing Address - Fax:941-213-8329
Practice Address - Street 1:8967 WHITE SAGE LOOP
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-6408
Practice Address - Country:US
Practice Address - Phone:941-447-3583
Practice Address - Fax:941-213-8329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty