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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL H LAKE JR., LMHC

Active Sole Proprietor

MR. MICHAEL H LAKE JR., LMHC is a Mental Health Counselor healthcare provider located in MELBOURNE, Florida. NPI 1265596035 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MELBOURNE, FL

Registration Details

NPI Number
1265596035
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2006 (19.471904338924 yrs)
Last Updated
Sep 25, 2018
Licenses
MH8204 (FL)
MH8204 (FL)
Sole Proprietor
Yes

Practice Information

Address
4450 EAU GALLIE BLVD
SUITE 200
MELBOURNE, FL, 329347214
Browse FL providers · Browse ZIP 32934
Phone
3217262860
Fax
3217523143
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Case Manager
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in MELBOURNE, FL

Name Credential NPI
MRS. CAROL JEANETTE FAIRCHILD ARNP 1972565547
MS. DIANA SUE PACK MA, LMHC 1346299054
MR. MICHAEL E SPENCER LMHC 1073562625
MS. SUSAN NELSON KILEY L.M.H.C 1043260417
ANGELA JEANNE REAM MA, LMHC 1760434849
MS. REBECCA BIGGIN ARNP 1790728616
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.