Organization · Type 2 NPI
La Bonne Maison, LLC
Mental Health Counselor · Lakeland, FL
NPI number
1164748208
Active
Practice location
202 Lake Miriam Drive Suite E13
Lakeland, FL 33813
Fax (863) 619-7622
Mailing address
202 Lake Miriam Dr Ste E13
Lakeland, FL 33813-2142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH0004793 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1164748208
La Bonne Maison, LLC's National Provider Identifier is 1164748208, issued on Apr 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Apr 14, 2010.