| Younetic LLC | |
|
122 E Main St Ste 186 Lakeland FL 33801-4655 | |
| (863) 268-7990 | |
| (863) 204-0648 |
| Full Name | Younetic LLC |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 122 E Main St Ste 186, Lakeland, Florida |
| Authorized Official Name and Position | Dianne Kelly Smith (OPERATOR) |
| Authorized Official Contact | 8632687990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Younetic LLC 122 E Main St Ste 186 Lakeland FL 33801-4655 Ph: (863) 268-7990 | Younetic LLC 122 E Main St Ste 186 Lakeland FL 33801-4655 Ph: (863) 268-7990 |
| NPI Number | 1285391144 |
|---|---|
| Provider Enumeration Date | 11/25/2021 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285391144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
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