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NPI Code Detail

MEDICARE: KIMBERLY A LALOTA M.S., LMHC

MEDICARE: KIMBERLY A LALOTA M.S., LMHC
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
1101YM0800XMental Health Counselor5380MA
2101YM0800XMental Health CounselorMH12826FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MH12826OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558420513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A LALOTA M.S., LMHC
Provider Business Mailing Address
First Line : 1555 INDIAN RIVER BLVD STE B210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7113
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Provider Business Practice Location Address
First Line : 13505 US HIGHWAY 1
Second Line :
City : SEBASTIAN
State : FL
Zip : 32958-3759
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 01/16/2025

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Directions to “ KIMBERLY A LALOTA M.S., LMHC” Practice Location

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