Provider Demographics
NPI:1316385008
Name:LAZARUS, BARBARA CAROL (LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:CAROL
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:B CAROL
Other - Middle Name:
Other - Last Name:LAZARUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:13900 S JOG RD STE 203-265
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-5905
Mailing Address - Country:US
Mailing Address - Phone:561-351-8518
Mailing Address - Fax:
Practice Address - Street 1:13900 S JOG RD STE 203-265
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-5905
Practice Address - Country:US
Practice Address - Phone:561-351-8518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health