Provider Demographics
NPI:1306832555
Name:SUBRAHMANIAN, RAJALAKSHMI (LMHC)
Entity Type:Individual
Prefix:
First Name:RAJALAKSHMI
Middle Name:
Last Name:SUBRAHMANIAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11851 NW 10TH PL
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5047
Mailing Address - Country:US
Mailing Address - Phone:954-413-1772
Mailing Address - Fax:954-755-8255
Practice Address - Street 1:1750 N UNIVERSITY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8903
Practice Address - Country:US
Practice Address - Phone:954-755-8247
Practice Address - Fax:954-755-8255
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health