Provider Demographics
NPI:1891188025
Name:THE KEY CENTER OF FLORIDA
Entity type:Organization
Organization Name:THE KEY CENTER OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPY
Authorized Official - Prefix:MR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:571-313-8750
Mailing Address - Street 1:9900 STIRLING RD
Mailing Address - Street 2:SUITE 229
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:571-313-8750
Mailing Address - Fax:
Practice Address - Street 1:21155 WHITFIELD PL
Practice Address - Street 2:SUITE 206
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:571-313-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1985251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health