Individual provider · Type 1 NPI
Lydia Angelica Antonatos, LMHC
Mental Health Counselor · Palm Bay, FL
NPI number
1790328144
Active
Practice location
3732 Coachman Ln SE
Palm Bay, FL 32909-1335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 17334 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1790328144
Lydia Angelica Antonatos, LMHC's National Provider Identifier is 1790328144, issued on Oct 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Bay, FL. The record was last updated on Oct 11, 2022.