Active NPI
La Bonne Maison, LLC
- Mental Health Counselor
- Lakeland, FL
National Provider Identifier
1164748208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0004793
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.