Willie Ralph Lott in Jacksonville - Mental Health
Willie Ralph Lott - NPI 1578613402
Willie Ralph Lott is a Mental Health in Jacksonville, Florida. Willie Ralph Lott practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Willie Ralph Lott is 1578613402. The last update date is 2007-07-08.
Willie Ralph Lott's current location address is 1045 Carlotta Rd E, Jacksonville, Florida. You can contact this provider via phone number 9047260677 and fax number 9047260678. The mailing address for Willie Ralph Lott is 1045 Carlotta Rd E, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Ralph Lott |
|---|---|
| Address | 1045 Carlotta Rd E, Jacksonville, Florida |
| Phone Number | 9047260677 |
| Fax Number | 9047260678 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1578613402 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1045 Carlotta Rd E |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322116203 |
| Phone Number | 9047260677 |
| Fax Number | 9047260678 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH 6555 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH 6555 | FL | LICENSE |
Post Comment/ Review Below
What is the Willie Ralph Lott's 1578613402?
The Willie Ralph Lott's NPI (National Provider Identifier) Number is 1578613402. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Willie Ralph Lott is physically located?
The Willie Ralph Lott is situated at the following address: 1045 Carlotta Rd E, Jacksonville, FL 322116203.
What is Willie Ralph Lott's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Willie Ralph Lott is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did Willie Ralph Lott receive its 1578613402 assignment from the Centers for Medicare & Medicaid Services?
The Willie Ralph Lott was assigned its 1578613402 on 2007-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Willie Ralph Lott last refreshed?
The information related to the Willie Ralph Lott, including its address, specialty, and other relevant details, was last updated on 2007-07-08.