Lanickayara Natson, PH.D

Individual provider Active NPI Developmental Therapist · Deerfiled Beach, FL

NPI 1992104103 · NPPES record last updated Jun 23, 2017

Key facts

NPI
1992104103
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
500 Fairway Drive Suite 102
Butterfly Effects LLC.
Deerfiled Beach, FL 33441
Phone
(888) 880-9270
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Destined 4 Greater Consulting & Counseling LLC. Current Accepting new patients
Rejuvenation Counseling Coaching & Consulting LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

500 Fairway Drive Suite 102
Butterfly Effects LLC.
Deerfiled Beach, FL 33441

Mailing address

108 Pinnacle Court
Destined 4 Greater Consulting & Counseling LLC
Savannah, GA 31419
Phone (912) 216-1732

Sources for this page

Verify at the official NPI Registry.