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NPI Code Detail

MEDICARE: MS. DEBRA MARY LANDES LMHC

MEDICARE:  MS. DEBRA MARY LANDES  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 CounselorMH4112FL

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 : 1184909723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA MARY LANDES LMHC
Provider Business Mailing Address
First Line : 159 NW 70TH ST APT 613
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-2319
Country : US
Telephone Number : 561-389-3695
Fax Number :
Provider Business Practice Location Address
First Line : 1210 S FEDERAL HWY STE 201
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-6044
Country : US
Telephone Number : 561-717-9920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 10/17/2017

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Directions to “ MS. DEBRA MARY LANDES LMHC” Practice Location

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