Provider Demographics
NPI:1316266075
Name:LOURENCO PERES, CLAUDIO LUIS (LMHC)
Entity type:Individual
Prefix:
First Name:CLAUDIO
Middle Name:LUIS
Last Name:LOURENCO PERES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 W 110TH ST
Mailing Address - Street 2:5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-4271
Mailing Address - Country:US
Mailing Address - Phone:646-639-2951
Mailing Address - Fax:888-393-9896
Practice Address - Street 1:137 W 110TH ST
Practice Address - Street 2:5D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-4271
Practice Address - Country:US
Practice Address - Phone:646-639-2951
Practice Address - Fax:888-393-9896
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health