Provider Demographics
NPI:1649889361
Name:BELIZAIRE, NADLY (LMHC)
Entity type:Individual
Prefix:
First Name:NADLY
Middle Name:
Last Name:BELIZAIRE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NW 214TH ST APT 720
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2011
Mailing Address - Country:US
Mailing Address - Phone:786-385-4635
Mailing Address - Fax:
Practice Address - Street 1:700 NW 214TH ST APT 720
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2011
Practice Address - Country:US
Practice Address - Phone:785-708-1478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8435101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health