| Lake Area Counseling, Llc | |
|
950-23 Blanding Blvd. #221 Orange Park FL 32065 | |
| (904) 853-0791 | |
| Not Available |
| Full Name | Lake Area Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 950-23 Blanding Blvd. #221, Orange Park, Florida |
| Authorized Official Name and Position | Kathleen Hill (OWNER) |
| Authorized Official Contact | 9048530791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Counseling, Llc 950-23 Blanding Blvd. #221 Orange Park FL 32065 Ph: (904) 853-0791 | Lake Area Counseling, Llc 950-23 Blanding Blvd. #221 Orange Park FL 32065 Ph: (904) 853-0791 |
| NPI Number | 1063097269 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 09/25/2021 |
| Certification Date | 09/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063097269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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