Lakeland Counseling Llc | |
3221 S Florida Ave Lakeland FL 33803-4550 | |
(863) 614-0034 | |
(863) 937-0284 |
Full Name | Lakeland Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3221 S Florida Ave, Lakeland, Florida |
Authorized Official Name and Position | Donald Willets (MANAGER) |
Authorized Official Contact | 8636140034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeland Counseling Llc Po Box 91872 Lakeland FL 33804-1872 Ph: (863) 614-0034 | Lakeland Counseling Llc 3221 S Florida Ave Lakeland FL 33803-4550 Ph: (863) 614-0034 |
NPI Number | 1326475708 |
---|---|
Provider Enumeration Date | 10/01/2013 |
Last Update Date | 10/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326475708 | NPI | - | NPPES |
1073508305 | Other | FL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 2300 (Florida) | Primary |
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