Braunstein, Colette

Braunstein, Colette is an sole proprietor health care provider with primary practice located at 749 State Road 60 E , Lake Wales FL 33853-4240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Braunstein, Colette can be contacted via phone (863) 676-3136.

Contact Information

Primary practice address
749 State Road 60 E Lake Wales FL 33853-4240
Phone: (863) 676-3136
Fax: (863) 678-0263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7893 Florida

Profile Details

NPI number 1275588402
LBN Legal business name Braunstein, Colette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated May 9th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275588402 NPPES
Florida MEDICAID 768565300

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