Healthcare Provider Details

I. General information

NPI: 1417867862
Provider Name (Legal Business Name): LAKEVIEW COUNSELING AND CONSULTING, L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 WEKIVA SPRINGS RD STE 231
LONGWOOD FL
32779-3690
US

IV. Provider business mailing address

365 WEKIVA SPRINGS RD STE 231
LONGWOOD FL
32779-3690
US

V. Phone/Fax

Practice location:
  • Phone: 813-807-4310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEENAN CROWLEY
Title or Position: CEO
Credential: NCC.RMHCI
Phone: 813-807-4310