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Organization
OWENS & LAKE WELLNESS & COUNSELING, INC.
Active
Organization
OWENS & LAKE WELLNESS & COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HENRY LAKE JR. M.S., LMHC (PRESIDENT)
(321) 632-5155
Entity
Organization
Contact information
Practice address
1209 ADMIRALTY BLVD, ROCKLEDGE, FL 32955
(321) 632-5155
(321) 632-5613
Mailing address
1209 ADMIRALTY BLVD, ROCKLEDGE, FL 32955
(321) 632-5155
(321) 632-5613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7448
FL
101YM0800X
Mental Health Counselor
Primary
MH8204
FL
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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