Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lake Mary Psychiatry and Counseling LLC

Organization Psychiatry Physician · NPI 1124456587

Lake Mary Psychiatry and Counseling LLC provides Psychiatry Physician services in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 Waymont Ct Ste 111
Lake Mary, FL 32746-3566 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 324-0405
Fax: (407) 324-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS4985 (FL)

Record details

NPI number1124456587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Krotenberg — Managing Member · (407) 324-0405
NPI enumeratedOctober 23, 2013
Last updated in NPPESOctober 23, 2013
Mailing addressPo Box 951468, Lake Mary, FL 32795-1468

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