| Owens & Lake Wellness & Counseling, Inc. | |
|
1209 Admiralty Blvd Rockledge FL 32955 | |
| (321) 632-5155 | |
| (321) 632-5613 |
| Full Name | Owens & Lake Wellness & Counseling, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1209 Admiralty Blvd, Rockledge, Florida |
| Authorized Official Name and Position | Michael Henry Lake (PRESIDENT) |
| Authorized Official Contact | 3216325155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owens & Lake Wellness & Counseling, Inc. 1209 Admiralty Blvd Rockledge FL 32955 Ph: (321) 632-5155 | Owens & Lake Wellness & Counseling, Inc. 1209 Admiralty Blvd Rockledge FL 32955 Ph: (321) 632-5155 |
| NPI Number | 1356467237 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356467237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8204 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH7448 (Florida) | Secondary |
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