Individual provider · Type 1 NPI

Lore Caldwell, LCMH

Mental Health Counselor · St. Petersburg, FL

NPI number 1770517153 Active

Practice location

4010 Central Ave
St. Petersburg, FL 33711

Fax (727) 322-2110

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X537 (NH)
Mental Health Counselor Primary 101YM0800XMH11130 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1770517153

Lore Caldwell, LCMH's National Provider Identifier is 1770517153, issued on Jul 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 4, 2018.