Individual
LANICIA WANZETTA CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
414 LAKE HOWELL RD, MAITLAND, FL 32751-5900
(407) 575-9102
(407) 558-3438
Mailing address
1850 LEE RD STE 322, WINTER PARK, FL 32789-2107
(407) 637-2633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMH15376
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH15376
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP0101003
FL
101YM0800X
Mental Health Counselor
15376
FL
101YM0800X
Mental Health Counselor
IMH15376
FL
101YM0800X
Mental Health Counselor
MH24262
FL
171M00000X
Case Manager/Care Coordinator
Primary
IMH15376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119812600
—
FL
Enumeration date
11/28/2018
Last updated
02/04/2025
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