PROFESSIONAL DISCLOSURES

MR. ED'S CIRCLE OF TRUST, INC.

4404 S. FLORIDA AVE. SUITE 14

LAKELAND, FLORIDA 33813

PHONE: (863) 583-4766

FAX: (850) 270-6733

MEDICAID PROVIDER ID- 116677300

PRACTICE TYPE- GROUP PRACTICE

PROVIDER TYPE- 07 SPECIALIZED THERAPEUTIC SERVICES

PROVIDER SPECIALTY- 066 COMPREHENSIVE BEHAVIORAL HEALTH ASSESSMENT

NPI #- 1194356386


DR. ED SHOEMAKER, PHD, LMHC, QS, TF-CBT

4404 S. FLORIDA AVE. SUITE 14

LAKELAND, FLORIDA 33813

PHONE: (863) 583-4766

FAX: (850) 270-6733

MEDICAID PROVIDER ID- 101349300

PRACTICE TYPE- INDIVIDUAL

PROVIDER TYPE- 07 SPECIALIZED THERAPEUTIC SERVICES

PROVIDER SPECIALTY- 907 SPECIALIZED THERAPEUTIC SERVICES

NPI #- 1447408166

FLORIDA LICENSE- LICENSED MENTAL HEALTH COUNSELOR/QUALIFIED SUPERVISOR MH13244



Please Feel Free To Contact my Office Anytime

OFFICE LOCATION

4404 S. Florida Ave. Suite 14 Lakeland, Florida 33813

Office Hours

BY APPOINTMENT ONLY 7 DAYS A WEEK

Primary

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed