institution
Lake Mary Psychiatric Services Llc
Specialist in Lake Mary, Florida
NPI 1285679902

Lake Mary Psychiatric Services Llc is a Specialist based in Lake Mary, FL. Lake Mary Psychiatric Services Llc practices in Lake Mary, FL. The NPI Number for Lake Mary Psychiatric Services Llc is 1285679902 and holds a License No. ME-82747 (Florida).

The current practice location address for Lake Mary Psychiatric Services Llc is 101 Timberlachen Cir, Lake Mary, FL and can be reached out via phone at 407-330-5818 and via fax at 407-330-5820.

Location: 101 Timberlachen Cir, Lake Mary, FL, 32746-6124
institution
Provider Profile Details
NPI Number
1285679902
Provider Name
Lake Mary Psychiatric Services Llc
Credential
Provider Entity Type
Organization
Address
101 Timberlachen Cir, Lake Mary, FL, 32746-6124
Phone Number
407-330-5818
Fax Number
407-330-5820
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7771009 01 FL AETNA
111973343307 01 FL MENTAL HEALTH NETWORK
272693 01 FL HARMONY BEHAVIORAL HEALTH
52339 01 FL BLUE CROSS BLUE SHIELD
543580 01 FL VALUE OPTIONS
110962 01 FL AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
101 Timberlachen Cir
City
State
Zip
32746-6124
Phone Number
407-330-5818
Fax Number
407-330-5820
person
Provider Business Mailing Address Details
Address
101 Timberlachen Cir
City
State
Zip
32746-6124
Phone Number
407-330-5818
Fax Number
407-330-5820
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME-82747 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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