Provider Demographics
NPI:1720679699
Name:LALIME, ESTELE
Entity type:Individual
Prefix:
First Name:ESTELE
Middle Name:
Last Name:LALIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 BAYWATCH LOOP APT 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5664
Mailing Address - Country:US
Mailing Address - Phone:813-395-4506
Mailing Address - Fax:
Practice Address - Street 1:33905 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9100
Practice Address - Country:US
Practice Address - Phone:813-358-7125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician