West, Robert

West, Robert is an individual health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. West, Robert can be contacted via phone (863) 248-3300.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 248-3300
Fax: (863) 584-7028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3589 Florida

Profile Details

NPI number 1861489288
LBN Legal business name West, Robert
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861489288 NPPES
Florida MEDICAID 764409400

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