STEPHEN KING LANDER LMFT NPI 1063560365

NPI Information

NPI: 1063560365
Provider Name: STEPHEN KING LANDER, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
71687 HIGHWAY 111 STE 205
RANCHO MIRAGE, CA
ZIP 92270
Phone: (612) 205-4576
Get Directions

Stephen King Lander, LMFT is a mental health counselor in Rancho Mirage, CA. Stephen King Lander, LMFT NPI is 1063560365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

71687 HIGHWAY 111 STE 205
RANCHO MIRAGE, CA
ZIP 92270-515
Phone: (612) 205-4576

The enumeration date for this NPI number is 1/5/2007 and was last updated on 3/10/2021.

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
1	101YM0800X	Counselor	Mental Health	20572	CALIFORNIA	Yes
2	101YM0800X	Counselor	Mental Health	MA LP #3316	MINNESOTA	No
3	101YM0800X	Counselor	Mental Health	LMFT #834	MINNESOTA	No

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
1	41-1836968	OTHER		FED TAX ID

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: 4/28/2024

NPI Synchronization or Removal

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