FAMILY PSYCHOLOGICAL SERVICES OF LAKELAND, LLC (NPI# 1265911382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265911382 |
| Entity Type | Organization |
| Organization Name | FAMILY PSYCHOLOGICAL SERVICES OF LAKELAND, LLC |
| Practice Address |
107 Morningside Dr Ste C Lakeland FL 33803-2600 |
| Practice Telephone | 8636066001 |
| Practice Fax Number | 8636066002 |
| Mailing Telephone | 8636066001 |
| Mailing Fax Number | 8636066002 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | MRS. ELIZABETH DUMVILLE (OWNER/PROVIDER) |
| Authorized Official Telephone | 8636066001 |
| Authorized Official Credential | LHMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6514 | FL | Behavioral Health & Social Service Providers |
| Street Address |
107 MORNINGSIDE DR STE C |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047972 | Elizabeth Dumville | Counselor | 107 Morningside Dr Ste C, Lakeland, FL 33803 | 2006-03-17 |
| 1578610416 | Thomas K. Mcclane | Legal Medicine | 107 Morningside Dr Ste C, Lakeland, FL 33803-2600 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626734 | Rowena Allison Barnett | Counselor | 4730 Lakeland Highlands Rd, Lakeland, FL 33813-3125 | 2020-10-15 |
| 1013525039 | Marah Mcaleer | Counselor | 5601 Bloomfield Blvd, Lakeland, FL 33810-8234 | 2020-07-15 |
| 1801417993 | Annie G Leboeuf | Counselor | 7355 Us Highway 98 N, Lakeland, FL 33809-2102 | 2020-04-30 |
| 1477172971 | Florida Counseling Solutions LLC | Counselor | 122 E Main St # 274, Lakeland, FL 33801-4655 | 2020-04-14 |
| 1114553757 | Megan Nance | Counselor | 50 Lake Morton Dr, Lakeland, FL 33801-5343 | 2020-03-16 |
| 1114557360 | Pinder Counseling LLC | Counselor | 4740 Cleveland Heights Blvd Ste 1, Lakeland, FL 33813-2187 | 2020-01-16 |
| 1174162093 | Deborah Beall Boynton | Counselor | 219 Hillcrest St, Lakeland, FL 33815 | 2019-12-23 |
| 1295377745 | Mary Ann Veronica Santiago | Counselor | 4745 Old Road 37, Lakeland, FL 33813-2031 | 2019-10-16 |
| 1407498298 | Altovise L Davis | Counselor | 627 Carolyn Dr, Lakeland, FL 33803-4856 | 2019-10-13 |
| 1255988895 | Glenna Mary Denis | Counselor | 3421 Sleepy Hill Oaks St, Lakeland, FL 33810-3561 | 2019-08-19 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.