Provider Demographics
NPI:1538454624
Name:JAGALUR, LAKSHMI (MA, MS)
Entity type:Individual
Prefix:MRS
First Name:LAKSHMI
Middle Name:
Last Name:JAGALUR
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 SW COLLEGE RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7406
Mailing Address - Country:US
Mailing Address - Phone:352-861-8044
Mailing Address - Fax:352-861-8868
Practice Address - Street 1:2801 SW COLLEGE RD
Practice Address - Street 2:SUITE 21
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7406
Practice Address - Country:US
Practice Address - Phone:352-861-8044
Practice Address - Fax:352-861-8868
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health