National Provider Identifier Database

LANTANA PSYCHIATRY LLC
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

LANTANA PSYCHIATRY LLC
1470 BEN SAWYER BLVD STE 6
MOUNT PLEASANT, SC29464-4593
Phone: 843-352-9982
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for LANTANA PSYCHIATRY LLC

NPI Number 1366013823
Legal business name
LBN
LANTANA PSYCHIATRY LLC
Authorized official CARL DOMINIC ROSA - (BOARD MEMBER)
Entity Organization
Organization subpart No
Enumeration date 07/06/2021
Last updated 07/06/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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