| NPI | 1053014423 |
|---|---|
| Doing Business As | LAKE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WEATHERS Therapist 334-695-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2025-10-06 |