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NPI Code Detail

MEDICARE: MRS. HEATHER ELAINE KAUFMANN LMHC

MEDICARE:  MRS. HEATHER ELAINE KAUFMANN  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 CounselorMH7566FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134429616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER ELAINE KAUFMANN LMHC
Provider Business Mailing Address
First Line : 1815 CRYSTAL LAKE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33801-5979
Country : US
Telephone Number : 863-709-9392
Fax Number :
Provider Business Practice Location Address
First Line : 1815 CRYSTAL LAKE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33801-5979
Country : US
Telephone Number : 863-709-9392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2010
Last Update Date : 10/29/2010

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Directions to “ MRS. HEATHER ELAINE KAUFMANN LMHC” Practice Location

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