MEDICARE: MS. JANET MARGARET LEBLANC 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
1	101YM0800X	Mental Health Counselor	LMHC 3097	FL

General Provider Information

NPI Number	:	1639158017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET MARGARET LEBLANC LMHC

Provider Business Mailing Address
First Line	:	201 PARK PL
Second Line	:	SUITE 201
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3513
Country	:	US
Telephone Number	:	407-260-8533
Fax Number	:	407-478-0942

Provider Business Practice Location Address
First Line	:	201 PARK PL
Second Line	:	SUITE 201
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3513
Country	:	US
Telephone Number	:	407-260-8533
Fax Number	:	407-478-0942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/08/2007

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