| Lj Rouse Pllc | |
|
429 S Tyndall Pkwy Panama City FL 32404-6765 | |
| (850) 960-2190 | |
| (850) 769-2366 |
| Full Name | Lj Rouse Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 429 S Tyndall Pkwy, Panama City, Florida |
| Authorized Official Name and Position | Laura Rouse (OWNER/LCSW) |
| Authorized Official Contact | 8509602190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lj Rouse Pllc 101 W 5th St Panama City FL 32401-2603 Ph: (850) 960-2190 | Lj Rouse Pllc 429 S Tyndall Pkwy Panama City FL 32404-6765 Ph: (850) 960-2190 |
| NPI Number | 1730684077 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730684077 | NPI | - | NPPES |
| HT655Z | Other | FL | SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10901 (Florida) | Primary |
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