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LE MINDAID COUNSELING

Psychoanalyst

Lithia, Florida

Provider NPI: 1770131328

Organization Information:
Organization Name:  LE MINDAID COUNSELING
Organization is not Subpart
Authorized Official:  KATHLEEN  PRACHT  PRESIDENT  352-9782988

Practice Location:
14839 HERONGLEN DR  LITHIA, FL 33547 US
Tel: 352-978-2988  Fax: --

Business Mailing Address:
14839 HERONGLEN DR  LITHIA, FL 33547 US
Tel: 352-978-2988  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y102L00000XBehavioral Health & Social Service Providers
Psychoanalyst

Other Provider Identifiers:

IssuerNumberStateType
013792800FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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