LAKESIDE COUNSELING LLC NPI 1316450554

NPI Information

NPI: 1316450554
Provider Name: LAKESIDE COUNSELING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3890 E STATE ROAD 64 UNIT 1
BRADENTON, FL
ZIP 34208
Phone: (859) 457-1254
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LAKESIDE COUNSELING LLC is a mental health (including community mental health center) clinic center in Bradenton, FL. LAKESIDE COUNSELING LLC NPI is 1316450554. The provider is registered as an organization entity type.

The provider's business location address is:

3890 E STATE ROAD 64 UNIT 1
BRADENTON, FL
ZIP 34208-040
Phone: (859) 457-1254

The provider's authorized official is Patrick R. Yewell .
The authorized official title is Owner/manager and has the following contact phone number (859) 457-1254.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 11/9/2017.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	14719	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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