| Lisa Graham Lmhc, Llc | |
|
4063 N Goldenrod Rd Winter Park FL 32792-8914 | |
| (407) 883-2722 | |
| Not Available |
| Full Name | Lisa Graham Lmhc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4063 N Goldenrod Rd, Winter Park, Florida |
| Authorized Official Name and Position | Lisa Graham (OWNER) |
| Authorized Official Contact | 4075954515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Graham Lmhc, Llc 4063 N Goldenrod Rd Winter Park FL 32792-8914 Ph: (407) 883-2722 | Lisa Graham Lmhc, Llc 4063 N Goldenrod Rd Winter Park FL 32792-8914 Ph: (407) 883-2722 |
| NPI Number | 1194262378 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194262378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH14044 (Florida) | Primary |
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