Provider Demographics
NPI:1194107367
Name:OBERACKER, LORI MARGARET (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:MARGARET
Last Name:OBERACKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 NORTH MILITARY TRAIL
Mailing Address - Street 2:COMMUNITY CHRISTIAN COUNSELING CENTER
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-622-5423
Mailing Address - Fax:561-636-3592
Practice Address - Street 1:9625 NORTH MILITARY TRAIL
Practice Address - Street 2:COMMUNITY CHRISTIAN COUNSELING CENTER
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-622-5423
Practice Address - Fax:561-636-3592
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health