1720442742 NPI number — LAS COUNSELING, LLC

Table of content: CHRISTOPHER PAUL FILSON MD, MS (NPI 1437275385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720442742 NPI number — LAS COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAS COUNSELING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720442742
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34931 US HIGHWAY 19 N STE 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM HARBOR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34684-1923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-423-6787
Provider Business Mailing Address Fax Number:
844-556-4651

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
34931 US HIGHWAY 19 N STE 116117
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-423-6787
Provider Business Practice Location Address Fax Number:
844-556-4651
Provider Enumeration Date:
04/06/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHANNON
Authorized Official First Name:
LAURI
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER/PSYCHOTHERAPIST
Authorized Official Telephone Number:
786-423-6787

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , with the licence number:  SW12717 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)