| Ldr Counseling, Llc | |
|
1215 Louisiana Ave Suite 100 Winter Park FL 32789-2344 | |
| (407) 622-0825 | |
| (407) 622-0826 |
| Full Name | Ldr Counseling, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1215 Louisiana Ave, Winter Park, Florida |
| Authorized Official Name and Position | Lisa D Rasmussen (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4078033758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldr Counseling, Llc 1215 Louisiana Ave Suite 100 Winter Park FL 32789-2344 Ph: (407) 622-0825 | Ldr Counseling, Llc 1215 Louisiana Ave Suite 100 Winter Park FL 32789-2344 Ph: (407) 622-0825 |
| NPI Number | 1013252782 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013252782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7412 (Florida) | Primary |
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