Provider Demographics
NPI:1760802185
Name:LAKSHMI SUBRAHMANIAN, MS, LMHC, PA
Entity Type:Organization
Organization Name:LAKSHMI SUBRAHMANIAN, MS, LMHC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAHMANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:955-655-7040
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:954-655-7040
Mailing Address - Fax:
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:954-755-7091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKSHMI SUBRAHMANIAN,MS,LMHC,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5814302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1306832555OtherNPI TYPE 1