| Jaclyn Lam Therapy | |
|
2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 | |
| (813) 445-3290 | |
| Not Available |
| Full Name | Jaclyn Lam Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Ashley Oaks Cir, Wesley Chapel, Florida |
| Authorized Official Name and Position | Jaclyn Lam (PRESIDENT) |
| Authorized Official Contact | 6094571180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Lam Therapy 2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 Ph: () - | Jaclyn Lam Therapy 2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 Ph: (813) 445-3290 |
| NPI Number | 1801658034 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 9032553995 |
|---|---|
| Medicare Enrollment ID | O20240219002633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801658034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Montgomery Lam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093577223 PECOS PAC ID: 0941644801 Enrollment ID: I20240219002780 |
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