Angel, Lisa Ann

Angel, Lisa Ann is an sole proprietor health care provider with primary practice located at 1100-1 Ponce De Leon Boulevard , St. Augustine FL 32084. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Angel, Lisa Ann can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
1100-1 Ponce De Leon Boulevard St. Augustine FL 32084
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2232 Florida

Profile Details

NPI number 1396922241
LBN Legal business name Angel, Lisa Ann
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2008
Last updated Jan 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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