| Keith Lafountain, LMFT | |
|
58120 Morton St, Marathon, FL 33050-5728 | |
| (305) 924-4673 | |
| Not Available |
| Full Name | Keith Lafountain |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 13 Years |
| Location | 58120 Morton St, Marathon, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235873233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MT3230 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Change Of Mind Llc | 4284971672 | 6 |
| Entity Name | Change Of Mind Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811443195 PECOS PAC ID: 4284971672 Enrollment ID: O20190123001743 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Lafountain, LMFT 58120 Morton St, Marathon, FL 33050-5728 Ph: (305) 924-4673 | Keith Lafountain, LMFT 58120 Morton St, Marathon, FL 33050-5728 Ph: (305) 924-4673 |
Mckenzie Jean Weber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st Street Ocean, Marathon, FL 33050 Phone: 305-434-7660 | |
Sarah Rollo, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st Street Ocean, Marathon, FL 33050 Phone: 305-422-0576 | |
Megan Elizabeth Kolor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st Street Ocean, Marathon, FL 33050 Phone: 518-894-0057 Fax: 305-434-9040 | |
Mr. Trey Ilgen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st St., Ocean, Marathon, FL 33050 Phone: 305-434-7660 Fax: 305-434-9040 | |
Deborah S. Matthews, M.S., L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st Street Ocean, Marathon, FL 33050 Phone: 305-434-9000 Fax: 303-434-9040 | |
Dwayne Kemar Ellis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 41st Street Ocean, Marathon, FL 33050 Phone: 305-433-0576 | |
Ms. Susan Marie Ambrosius X, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10015 Overseas Hwy, Marathon, FL 33050 Phone: 305-289-2779 |