Laura E Bickler

Individual provider Active NPI Mental Health Counselor · Trinity, FL

NPI 1770176588 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1770176588
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH15841 (FL)
Practice address
8407 Glengarry Place
Trinity, FL 34655-3465
Phone
(727) 458-9543
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH15841FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15841
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X MH15841 FL Yes

Addresses

Primary practice location

8407 Glengarry Place
Trinity, FL 34655-3465

Mailing address

8407 Glengarry PL
Trinity, FL 34655-4563
Phone (727) 458-9543

Other providers in Trinity, FL

All providers in Trinity, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.