KMD COACHING LLC
Managed Care Organizations at Florida Ave, Lakeland, FL

License number
Florida MH11140
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MRS. KATHRYN M. DELOACH M.S.; LMHC
Title: DIRECTOR
Phone: (863) 397-3232
Address
Address
1074 S Florida Ave SUITE 103B, Lakeland, FL 33803
National Provider ID: 1356739585
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KMD COACHING LLC at bizstanding.com

KMD COACHING, LLC

Lakeland, FL

Registration:
Oct 1, 2012
Addresses:
1074 S Florida Ave 103B, Lakeland, FL 33803 (Physical)
1426 Newport Ave, Lakeland, FL 33803
State ID:
L12000124758
Business type:
Florida Limited Liability Company
Managing Member:
Kathryn M Deloach (Managing Member), 1074 S Florida Ave, Lakeland, FL 33803 (Physical)
Agent:
Kathryn Deloach,1074 S Florida Ave, Lakeland, FL 33803 (Physical)
EIN:
59-3584456

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