Boss, Shantala Marie

Boss, Shantala Marie is an individual health care provider with primary practice located at 101 Timberlachen Circle Suite 101, Lake Mary FL 32746. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boss, Shantala Marie can be contacted via phone (407) 308-0122.

Contact Information

Primary practice address
101 Timberlachen Circle Suite 101 Lake Mary FL 32746
Phone: (407) 308-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8920 Florida

Profile Details

NPI number 1952503021
LBN Legal business name Boss, Shantala Marie
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Aug 1st, 2013 - about 12 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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