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Provider Information for 1336688431


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LIA CORYN BIGELOW LPC, LMHC


Other Names:  
Former Name: 
LIA CORYN LAVASSAUR LPC, LMHC

Sex: Female

NPI: 1336688431
Last Updated: 2022-03-25
Certification Date: 2022-03-25

Details

NameValue
NPI1336688431
Enumeration Date2017-02-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 501 SUPERIOR PL
WEST PALM BEACH, FL 33409-3739
United States

Phone: 561-584-1585 | Fax:
 
Primary Practice Address 110 JFK DR STE 118
ATLANTIS, FL 33462-1146
United States

Phone: 561-812-2000 | Fax:
 
Secondary Practice Address(es)

909 N DIXIE HWY
WEST PALM BEACH, FL 33401-3329
United States

Phone: 561-899-6088 | Fax:
 

2161 PALM BEACH LAKES BLVD STE 208
WEST PALM BEACH, FL 33409-6611
United States

Phone: 561-899-3199 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)FL003719-2014
No 101YP2500X - Counselor - ProfessionalPAPC009337
Yes 101YM0800X - Counselor - Mental HealthFLMH17273