Provider Demographics
NPI:1851750921
Name:LAURA J. PERRY LMHC PLLC
Entity Type:Organization
Organization Name:LAURA J. PERRY LMHC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CRC, LMHC
Authorized Official - Phone:325-665-3390
Mailing Address - Street 1:5200 NW 43RD ST
Mailing Address - Street 2:STE 102-197
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4484
Mailing Address - Country:US
Mailing Address - Phone:352-665-3390
Mailing Address - Fax:
Practice Address - Street 1:808 NW 23RD AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3534
Practice Address - Country:US
Practice Address - Phone:352-665-3390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty