Lakeside Counseling And Wellness Center
LBN: Patricia Adams Counseling, Llc
Lakeside Counseling And Wellness Center is an health care organization with primary practice located at 900 N Swallow Tail Dr Ste 105 , Port Orange FL 32129-6103. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Patricia Adams Counseling, Llc can be contacted via phone (386) 333-9717, or through Adams, Patricia via phone (386) 333-9717.
Contact Information
Primary practice address
900 N Swallow Tail Dr Ste 105
Port Orange FL 32129-6103
Phone: (386) 333-9717
Fax: (386) 333-9718
Website:
Authorized official contact:
Name: Adams, Patricia Licensed Clinical Social Worker (LCSW)
Phone: (386) 333-9717
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1578951596 |
|---|---|
| LBN Legal business name | Patricia Adams Counseling, Llc |
| DBA Doing business as | Lakeside Counseling And Wellness Center |
| Authorized official | Adams, Patricia Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2014 |
| Last updated | Mar 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578951596 | NPPES |
| Florida | Other | 0213714-00 | 07 - MEDICAID |
| Florida | MEDICAID | 0222423-00 | 07 - MEDICAID |
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