Provider Demographics
NPI:1740841873
Name:STARLING, LANDA (LMHC)
Entity type:Individual
Prefix:
First Name:LANDA
Middle Name:
Last Name:STARLING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 NE ROSETREE DR
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4757
Mailing Address - Country:US
Mailing Address - Phone:772-529-5594
Mailing Address - Fax:772-334-4356
Practice Address - Street 1:2440 SE FEDERAL HWY STE L
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4531
Practice Address - Country:US
Practice Address - Phone:772-529-5594
Practice Address - Fax:772-334-4356
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH6530OtherMENTAL HEALTH