Individual
DR. GEORGIANNA WALKER SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP LMHC PHD
Contact information
Practice address
237 E PARK AVE, LAKE WALES, FL 33853-3705
(863) 676-4700
(863) 676-4707
Mailing address
237 E PARK AVE, LAKE WALES, FL 33853-3705
(863) 676-4700
(863) 676-4707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH0002775
FL
363L00000X
Nurse Practitioner
Primary
820192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z4905
BCBS LMHC
—
Enumeration date
12/21/2006
Last updated
04/21/2015
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