Search › Florida › 101YM0800X
Michael Lake, LMHC
NPI 1265596035 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4450 Eau Gallie Blvd
Suite 200
Melbourne, FL 32934 - Phone
- (321) 726-2860
- Fax
- (321) 752-3143
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 104100000X
171M00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida