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Organization

L&M'S COMPLETE CARE MENTAL HEALTH COUNSELING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCNER METELLUS M.A. (MENTAL HEALTH THERAPIST)
(407) 756-2228
Entity
Organization

Contact information

Practice address
750 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-3118
(407) 756-2228
Mailing address
3536 LAKE TINY CIR, ORLANDO, FL 32818-2297
(407) 756-2228
(407) 250-6037

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH 10469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12254300036
FL
Enumeration date
09/23/2014
Last updated
06/06/2019
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