MEDICARE: HOLLY LAPKA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6801094264	MI
2	101YP2500X	Professional Counselor	SW13193	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6801094264	OTHER	MI	LIC. #

General Provider Information

NPI Number	:	1104260942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY LAPKA LCSW

Provider Business Mailing Address
First Line	:	10107 ANCORA CIR APT 1117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-7431
Country	:	US
Telephone Number	:	517-974-6257
Fax Number	:

Provider Business Practice Location Address
First Line	:	7380 W SAND LAKE RD STE 541
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5248
Country	:	US
Telephone Number	:	407-720-9882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	03/04/2020

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Directions to “ HOLLY LAPKA LCSW” Practice Location

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