La Bonne Maison, Llc | |
202 Lake Miriam Drive Suite E13 Lakeland FL 33813 | |
(800) 824-8580 | |
(863) 619-7622 |
Full Name | La Bonne Maison, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 202 Lake Miriam Drive Suite E13, Lakeland, Florida |
Authorized Official Name and Position | Lisa G Hatten (DIRECTOR/OWNER) |
Authorized Official Contact | 8008248580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Bonne Maison, Llc 202 Lake Miriam Dr Ste E13 Lakeland FL 33813-2142 Ph: (800) 824-8580 | La Bonne Maison, Llc 202 Lake Miriam Drive Suite E13 Lakeland FL 33813 Ph: (800) 824-8580 |
NPI Number | 1164748208 |
---|---|
Provider Enumeration Date | 04/14/2010 |
Last Update Date | 04/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164748208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH0004793 (Florida) | Primary |
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