Provider Demographics
NPI:1801270541
Name:KUZEL, LAURIE-ANNE C (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LAURIE-ANNE
Middle Name:C
Last Name:KUZEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3844 S RED EAGLE TER
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34448-7326
Mailing Address - Country:US
Mailing Address - Phone:352-634-1168
Mailing Address - Fax:
Practice Address - Street 1:3844 S RED EAGLE TER
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34448-7326
Practice Address - Country:US
Practice Address - Phone:352-634-1168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH12757101YM0800X
FLMH15267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health