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Organization
LEHIGH MATTERS LLC
Active
Organization
LEHIGH MATTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN GOLLOPP (MANAGER)
(786) 560-7496
Entity
Organization
Contact information
Practice address
5598 8TH ST W # 2, LEHIGH ACRES, FL 33971-6341
(786) 560-7496
Mailing address
PO BOX 1226, LEHIGH ACRES, FL 33970-1226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL19000076682
DEPARTMENT OF CORPORATION
FL
Enumeration date
06/29/2019
Last updated
06/29/2019
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