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PATRICIA ADAMS COUNSELING LLC NPI 1578951596


NPI Information

NPI: 1578951596
Provider Name: PATRICIA ADAMS COUNSELING, LLC

Doing Business As: LAKESIDE COUNSELING AND WELLNESS CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL
ZIP 32129
Phone: (386) 333-9717
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PATRICIA ADAMS COUNSELING, LLC is a mental health counselor in Port Orange, FL. PATRICIA ADAMS COUNSELING, LLC NPI is 1578951596. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeside Counseling And Wellness Center.

The provider's business location address is:

900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL
ZIP 32129-103
Phone: (386) 333-9717
Fax: (386) 333-9718

The provider's authorized official is Patricia Adams .
The authorized official title is Owner and has the following contact phone number (386) 333-9717.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 3/7/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10222423-00MEDICAIDFLORIDA
20213714-00OTHERFLORIDA07 - MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.