| 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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