Organization
RAVEON1947
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L KAUS MA, LMHC (OWNER)
(941) 685-0265
Entity
Organization
Contact information
Practice address
9040 TOWN CENTER PARKWAY, BRADENTON, FL 34202-3420
(941) 685-0265
(941) 552-5650
Mailing address
9040 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4101
(941) 685-0265
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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