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Organization
LAKEWOOD RANCH COUNSELING, LLC.
Active
Organization
LAKEWOOD RANCH COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS HAGE LMHC (SINGLE MEMBER MANAGER)
(941) 549-1521
Entity
Organization
Contact information
Practice address
13571 LUXE AVE APT 207, BRADENTON, FL 34211-4509
(941) 549-1521
Mailing address
13571 LUXE AVE APT 207, BRADENTON, FL 34211-4509
(941) 549-1521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/07/2024
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