Organization · Type 2 NPI
Lakeside Counseling LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Bradenton, FL
NPI number
1316450554
Active
Practice location
3890 E State Road 64 Unit 1
Bradenton, FL 34208-9040
Mailing address
8847 Stone Harbour Loop
Bradenton, FL 34212-6324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 14719 (FL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1316450554
Lakeside Counseling LLC's National Provider Identifier is 1316450554, issued on Nov 9, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Bradenton, FL. The record was last updated on Nov 9, 2017.