Lois Shannon Andersen, LMHC
Individual provider Active NPI Mental Health Counselor · Palm Coast, FL
NPI 1992039986 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1992039986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH0003625 (FL)
- Practice address
- 134 Hernandez Ave
Palm Coast, FL 32137-3245 - Phone
- (386) 503-0380
- NPI assigned
- Sep 24, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH0003625 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0003625 | FL | Yes |
Addresses
Primary practice location
134 Hernandez Ave
Palm Coast, FL 32137-3245
Mailing address
134 Hernandez Ave
Palm Coast, FL 32137-3245
Phone (386) 503-0380
Other providers in Palm Coast, FL
- Magda M. Amer
- American Wellness Solutions, LLC
- Amethyst Wellness LLC
- Amir a Malik MD PA
- Kathleen Anasagasti
- Amanda Anderson
- Mildred Frances Anderson
- Miles C Anderson
- Shayla Angelia Anderson
- Shedrick Anderson
All providers in Palm Coast, 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 Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.