Organization
BANYAN INSTITUTE, INC
Active
Other names
Lisa C Niebling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C NIEBLING PHD, LMHC, CST (LICENSED MENTAL HEALTH COUNSELOR)
(561) 798-2310
Entity
Organization
Contact information
Practice address
11388 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-8705
(561) 798-2310
(561) 798-2477
Mailing address
11388 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-8705
(561) 798-2310
(561) 798-2477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-4160
FL
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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