Lbm Pmhnp
NPI #1346825015 in St Augustine, Florida
Provider Information
- NPI Number
- 1346825015
- Entity Type
- Organization
- Organization Name
- Lbm Pmhnp
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 15, 2021
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 109 CEJA WAY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-4852
- Phone
- (402) 813-3716
Authorized Official
- Name
- MS. LATISHSA BLANCHARD, APRN
- Title
- PRESIDENT
- Phone
- (402) 813-3716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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