Provider Demographics
NPI:1467989657
Name:JOSEPH A WEST, LMHC
Entity Type:Organization
Organization Name:JOSEPH A WEST, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-287-6042
Mailing Address - Street 1:4285 SW MARTIN HWY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-8615
Mailing Address - Country:US
Mailing Address - Phone:772-287-6042
Mailing Address - Fax:772-287-6045
Practice Address - Street 1:4285 SW MARTIN HWY
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8615
Practice Address - Country:US
Practice Address - Phone:772-287-6042
Practice Address - Fax:772-287-6045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL768922500Medicaid