Provider Demographics
NPI:1487970703
Name:BAIN, ARTHUR LEE (LMHC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:LEE
Last Name:BAIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 N. DIXIE HWY
Mailing Address - Street 2:646 W. PALM DR.
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33305-3138
Mailing Address - Country:US
Mailing Address - Phone:954-368-6986
Mailing Address - Fax:954-368-6987
Practice Address - Street 1:1621 N. DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33305-3138
Practice Address - Country:US
Practice Address - Phone:954-368-6986
Practice Address - Fax:954-668-6987
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health