Healthcare Provider Details

I. General information

NPI: 1982341145
Provider Name (Legal Business Name): MONICA LAMIE SW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26837 TANIC DR
WESLEY CHAPEL FL
33544-4613
US

IV. Provider business mailing address

20747 STERLINGTON DR
LAND O LAKES FL
34638-4317
US

V. Phone/Fax

Practice location:
  • Phone: 813-670-2925
  • Fax:
Mailing address:
  • Phone: 813-670-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: