Lee Barrow, Llc | |
2225 E Edgewood Dr Sutie 11 Lakeland FL 33803-3634 | |
(863) 937-9152 | |
(863) 937-9154 |
Full Name | Lee Barrow, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2225 E Edgewood Dr, Lakeland, Florida |
Authorized Official Name and Position | Michelle Tull (ADMINISTRATOR) |
Authorized Official Contact | 8639379152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lee Barrow, Llc Po Box 1533 Highland City FL 33846-1533 Ph: () - | Lee Barrow, Llc 2225 E Edgewood Dr Sutie 11 Lakeland FL 33803-3634 Ph: (863) 937-9152 |
NPI Number | 1063772689 |
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Provider Enumeration Date | 05/17/2012 |
Last Update Date | 05/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063772689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH4263 (Florida) | Primary |
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› Verified 8 days ago
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