Provider Demographics
NPI:1861607707
Name:STOKES-PROSPERE, LILIMAY ISABELLE (LMHC)
Entity type:Individual
Prefix:
First Name:LILIMAY
Middle Name:ISABELLE
Last Name:STOKES-PROSPERE
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 1:10390 SW 152ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1473
Mailing Address - Country:US
Mailing Address - Phone:305-332-6870
Mailing Address - Fax:786-732-7809
Practice Address - Street 1:15321 S DIXIE HWY STE 206
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1814
Practice Address - Country:US
Practice Address - Phone:305-332-6870
Practice Address - Fax:305-971-0159
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6701101YM0800X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL812206700Medicaid