MR. MICHAEL H LAKE LMHC NPI 1265596035

NPI Information

NPI: 1265596035
Provider Name: MR. MICHAEL H LAKE, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4450 EAU GALLIE BLVD
SUITE 200
MELBOURNE, FL
ZIP 32934
Phone: (321) 726-2860
Get Directions

MR. Michael H Lake, LMHC is a mental health counselor in Melbourne, FL. MR. Michael H Lake, LMHC NPI is 1265596035. 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:

4450 EAU GALLIE BLVD
SUITE 200
MELBOURNE, FL
ZIP 32934-214
Phone: (321) 726-2860
Fax: (321) 752-3143

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/25/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	171M00000X	Case Manager/Care Coordinator		MH8204	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH8204	FLORIDA	Yes

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	016517700	MEDICAID	FLORIDA
2	000761700	MEDICAID	FLORIDA

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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