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Provider Information for 1336735364


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

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LORI FEATHERINGILL LMHC


Other Names:  
Other Name: 
LORI FEATHERINGILL TIMBERLAKE LMHC

Sex: Female

NPI: 1336735364
Last Updated: 2020-12-14
Certification Date: 2020-12-14

Details

NameValue
NPI1336735364
Enumeration Date2020-12-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1776 FIDDLERS RIDGE DR
FLEMING ISLAND, FL 32003-7240
United States

Phone: 706-551-9001 | Fax:
 
Primary Practice Address 1776 FIDDLERS RIDGE DR
FLEMING ISLAND, FL 32003-7240
United States

Phone: 706-551-9001 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH10215