LAKESHORE SUPPORT NPI 1548355639

NPI Information

LAKESHORE SUPPORT is a professional counselor in Vermilion, OH. LAKESHORE SUPPORT NPI is 1548355639. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeshore Educational And Counseling Services, Llc.

The provider's business location address is:

5475 LIBERTY AVE
VERMILION, OH
ZIP 44089-333
Phone: (440) 963-0402
Fax: (440) 963-4018

The provider's authorized official is Christianne Gardner .
The authorized official title is Owner and has the following contact phone number (216) 315-2763.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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