Eric Lanham
Individual provider Active NPI Mental Health Counselor · Micanopy, FL
NPI 1174280705 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1174280705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 22157 NW 87TH Avenue Rd
Micanopy, FL 32667-7439 - Phone
- (502) 299-2282
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250512001954 | FL | Practitioner - Mental Health Counselor | 7113444233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
22157 NW 87TH Avenue Rd
Micanopy, FL 32667-7439
Mailing address
22157 NW 87TH Avenue Rd
Micanopy, FL 32667-7439
Phone (502) 299-2282
Other providers in Micanopy, FL
- Florida Good Health PLLC
- Sherry T. Gliesche
- Paula Goldberg
- Lisa Hager
- Kelly Marie Johnston
- Anna Belen Larson
- McIntosh Assisted Living
- Mallory Leblanc Pfaffly
- Caroline Roach
- Irina Shlain
All providers in Micanopy, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.