Provider Demographics
NPI:1427181775
Name:LAPP & ASSOCIATES BEHAVIORAL COUNSELIND CTR
Entity Type:Organization
Organization Name:LAPP & ASSOCIATES BEHAVIORAL COUNSELIND CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIRECTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:MARRIAGE & FAMILY ME
Authorized Official - Phone:904-388-2828
Mailing Address - Street 1:931 CASSAT AVENUE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205
Mailing Address - Country:US
Mailing Address - Phone:904-388-2828
Mailing Address - Fax:904-388-2821
Practice Address - Street 1:931 CASSAT AVENUE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205
Practice Address - Country:US
Practice Address - Phone:904-388-2828
Practice Address - Fax:904-388-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3959101YM0800X
FLMT641101YM0800X
FLPY4887103T00000X
FLMH530106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare UPIN