Asbury-Staple, Venatoria Ellen

Asbury-Staple, Venatoria Ellen is an sole proprietor health care provider with primary practice located at 907 Coquina St Se , Palm Bay FL 32909-4518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Asbury-Staple, Venatoria Ellen can be contacted via phone (321) 704-7493.

Contact Information

Primary practice address
907 Coquina St Se Palm Bay FL 32909-4518
Phone: (321) 704-7493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417257460
LBN Legal business name Asbury-Staple, Venatoria Ellen
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Oct 25th, 2010 - about 15 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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