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Mr. Michael H Lake JR., LMHC
Mental Health Counselor in Melbourne, Florida
NPI 1265596035

Michael H Lake JR. is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Michael H Lake JR. practices in Melbourne, FL and has the professional credentials of LMHC. The NPI Number for Michael H Lake JR. is 1265596035 and holds a License No. (Florida).

The current practice location address for Michael H Lake JR. is 4450 Eau Gallie Blvd, Melbourne, FL and can be reached out via phone at 321-726-2860 and via fax at 321-752-3143.

Location: 4450 Eau Gallie Blvd, Melbourne, FL, 32901-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265596035
Provider Name
Michael H Lake JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
4450 Eau Gallie Blvd, Melbourne, FL, 32901-3122
Phone Number
321-726-2860
Fax Number
321-752-3143
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016517700 05 FL
000761700 05 FL
institution
Provider Business Practice Location Address Details
Address
4450 Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32934-7214
Phone Number
321-726-2860
Fax Number
321-752-3143
person
Provider Business Mailing Address Details
Address
4450 Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32934-7214
Phone Number
321-726-2860
Fax Number
321-752-3143
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH8204 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
MH8204 (Florida)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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