| Lakeland Counseling Llc | |
|
3221 S Florida Ave Lakeland FL 33803-4550 | |
| (863) 614-0034 | |
| (863) 937-0284 |
| Full Name | Lakeland Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3221 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Donald Willets (MANAGER) |
| Authorized Official Contact | 8636140034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Counseling Llc Po Box 91872 Lakeland FL 33804-1872 Ph: (863) 614-0034 | Lakeland Counseling Llc 3221 S Florida Ave Lakeland FL 33803-4550 Ph: (863) 614-0034 |
| NPI Number | 1326475708 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326475708 | NPI | - | NPPES |
| 1073508305 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 2300 (Florida) | Primary |
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