Organization · Type 2 NPI

LBM Pmhnp

Adult Mental Health Clinic/Center · St. Augustine, FL

NPI number 1346825015 Active

Practice location

109 Ceja Way
St. Augustine, FL 32095-4852

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1346825015

LBM Pmhnp's National Provider Identifier is 1346825015, issued on Mar 15, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 15, 2021.