| Lakewood Ranch Counseling | |
|
8636 State Road 70 E Bradenton FL 34202-3785 | |
| (941) 549-1521 | |
| Not Available |
| Full Name | Lakewood Ranch Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8636 State Road 70 E, Bradenton, Florida |
| Authorized Official Name and Position | Travis Hage (SINGLE MEMBER MANAGER) |
| Authorized Official Contact | 9415491521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Ranch Counseling 21705 67th Ave E Bradenton FL 34211-7089 Ph: (941) 549-1521 | Lakewood Ranch Counseling 8636 State Road 70 E Bradenton FL 34202-3785 Ph: (941) 549-1521 |
| NPI Number | 1699332106 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699332106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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