| Specialty | Taxonomy Code | |
|---|---|---|
| * | Mental Health (Including Community Mental Health Center) | 261QM0801X |
| Addiction (Substance Use Disorder) | 101YA0400X | |
| Mental Health | 101YM0800X | |
| Multi-Specialty | 261QM1300X |
* Indicates primary specialty
| NPI Number | 1407998719 |
| Legal business name LBN |
LAKESIDE FAMILY THERAPY SERVICES LTD |
| Authorized official | JACQUELINE MCRAE - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 02/13/2007 |
| Last updated | 08/06/2021 - About 5 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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