Provider Demographics
NPI:1871999870
Name:KLOPFENSTEIN, ILIANA (LMHC)
Entity type:Individual
Prefix:MS
First Name:ILIANA
Middle Name:
Last Name:KLOPFENSTEIN
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 1:169 E FLAGLER ST
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1210
Mailing Address - Country:US
Mailing Address - Phone:305-573-3784
Mailing Address - Fax:305-341-1772
Practice Address - Street 1:7867 N KENDALL DR STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7735
Practice Address - Country:US
Practice Address - Phone:786-535-8705
Practice Address - Fax:305-341-1772
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH12984OtherDOH LIC