MEDICARE: MRS. CHIMA HOPE-LUBIN LMFT

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	106H00000X	Marriage & Family Therapist	MT3061	FL

General Provider Information

NPI Number	:	1851762066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHIMA HOPE-LUBIN LMFT

Provider Business Mailing Address
First Line	:	9015 TOWN CENTER PKWY UNIT 111
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5012
Country	:	US
Telephone Number	:	941-725-9732
Fax Number	:

Provider Business Practice Location Address
First Line	:	9015 TOWN CENTER PKWY UNIT 111
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5012
Country	:	US
Telephone Number	:	941-725-9732
Fax Number	:

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

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	01/07/2020

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