Organization Active NPI

La Bonne Maison, LLC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1164748208
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0004793 Issued in FL
Legal business name
LA BONNE MAISON, LLC
Practice address
202 Lake Miriam Drive Suite E13
Lakeland, FL 33813
Phone
(800) 824-8580
Fax
(863) 619-7622
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa G Hatten
Title
Director/Owner
Phone
(800) 824-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH0004793 FL Primary

Addresses

Primary practice location

202 Lake Miriam Drive Suite E13
Lakeland, FL 33813

Mailing address

202 Lake Miriam Dr Ste E13
Lakeland, FL 33813-2142
Phone (800) 824-8580

National Provider Directory

National Provider Directory

Locations

202 Lake Miriam Dr
Ste E13
Lakeland, FL 33813
Phone (800) 824-8580

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1164748208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAKE MIRIAM DR STE E13",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132142",
            "telephone_number": "800-824-8580",
            "fax_number": "863-619-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAKE MIRIAM DRIVE SUITE E13",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "800-824-8580",
            "fax_number": "863-619-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BONNE MAISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "HATTEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "800-824-8580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0004793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.