Healthcare Provider Details

I. General information

NPI: 1316385008
Provider Name (Legal Business Name): BARBARA CAROL LAZARUS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: B CAROL LAZARUS LMHC

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 08/17/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13900 S JOG RD STE 203-265
DELRAY BEACH FL
33446-5905
US

IV. Provider business mailing address

13900 S JOG RD STE 203-265
DELRAY BEACH FL
33446-5905
US

V. Phone/Fax

Practice location:
  • Phone: 561-351-8518
  • Fax:
Mailing address:
  • Phone: 561-351-8518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH3453
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: