| M.w. Ladwig, L.m.h.c., Inc. | |
|
595 W. Granada Blvd. Suite E-2 (e. Coast Neuropsychiatric) Ormond Beach FL 32174 | |
| (386) 672-4222 | |
| (386) 672-8855 |
| Full Name | M.w. Ladwig, L.m.h.c., Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 595 W. Granada Blvd., Ormond Beach, Florida |
| Authorized Official Name and Position | Michael William Ladwig (PRESIDENT) |
| Authorized Official Contact | 3865069381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.w. Ladwig, L.m.h.c., Inc. 595 W. Granada Blvd. Suite E-2 (e. Coast Neuropsychiatric) Ormond Beach FL 32174 Ph: (386) 672-4222 | M.w. Ladwig, L.m.h.c., Inc. 595 W. Granada Blvd. Suite E-2 (e. Coast Neuropsychiatric) Ormond Beach FL 32174 Ph: (386) 672-4222 |
| NPI Number | 1760619514 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 06/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760619514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH#00874 (Florida) | Primary |
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