LAKEYTA NACOLE GIVENS


Address: 514 Joan St, Macclenny, FL 32063-2618
Phone: 9049471244

LAKEYTA NACOLE GIVENS (NPI# 1376002063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376002063
Entity Type Individual
Full Name LAKEYTA NACOLE GIVENS
Practice Address 514 Joan St
Macclenny
FL 32063-2618
Practice Telephone 9049471244
Mailing Telephone 9049471244
Enumeration Date 2019-03-13
Last Update Date 2019-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers

Office Location

Street Address 514 JOAN ST
City MACCLENNY
State FL
Zip Code 32063-2618

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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Competitor

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City MACCLENNY
Zip Code 32063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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