Provider Demographics
NPI:1386372522
Name:CAUDLE, LOURDES SAAD (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:SAAD
Last Name:CAUDLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LOURDES
Other - Middle Name:
Other - Last Name:SAAD-NAGY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:567 HUNTING LODGE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5743
Mailing Address - Country:US
Mailing Address - Phone:305-302-6990
Mailing Address - Fax:
Practice Address - Street 1:567 HUNTING LODGE DR
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5743
Practice Address - Country:US
Practice Address - Phone:305-302-6990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health