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LBM PMHNP
NPI 1346825015
Clinic/Center - Adult Mental Health in St Augustine, FL

Active since March 15, 2021
109 CEJA WAY, ST AUGUSTINE, FL 32095(402) 813-3716 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lbm Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LBM PMHNP (NPI 1346825015) is a healthcare organization registered as an adult mental health in St Augustine, Florida and active in the NPI registry since March 2021. The organization lists Latishsa Blanchard, President, as its authorized official.

NPPES Registry Identity

NPI1346825015
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLBM PMHNP
Location Address109 CEJA WAYSt Augustine, FL 32095-4852
Mailing Address109 Ceja WaySt Augustine, FL 32095-4852 · (402) 813-3716
Phone(402) 813-3716
Organization SubpartNo
Authorized OfficialLatishsa BlanchardPresident · (402) 813-3716
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1346825015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
109 CEJA WAY, St Augustine, FL 32095
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Other Identifiers 2

OtherB452-533-77-542-0FL · Drivers License
OtherB452-533-77-542-0FL · Fl Drivers License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lbm Pmhnp's NPI number?

The NPI number for Lbm Pmhnp is 1346825015. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Lbm Pmhnp located?

Lbm Pmhnp is located at 109 Ceja Way, St Augustine, FL 32095. The listed phone number is (402) 813-3716.

What is Lbm Pmhnp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Lbm Pmhnp was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.