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NPI Code Detail

MEDICARE: ALEXANDER GEORGE COLE LMHC

MEDICARE: ALEXANDER GEORGE COLE 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 Counselor

General Provider Information

NPI Number : 1114262763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER GEORGE COLE LMHC
Provider Business Mailing Address
First Line : 6000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4615
Country : US
Telephone Number : 407-613-5555
Fax Number :
Provider Business Practice Location Address
First Line : 6000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4615
Country : US
Telephone Number : 407-613-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2012
Last Update Date : 10/16/2020

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