Brenner, S Paige
Brenner, S Paige is an individual health care provider with primary practice located at 1912 Boothe Circle Suite 200, Longwood FL 32750-6709. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brenner, S Paige can be contacted via phone (407) 327-1765.Contact Information
Primary practice address
1912 Boothe Circle Suite 200
Longwood FL 32750-6709
Phone: (407) 327-1765
Fax: (407) 339-2129
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH6240 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6240 | Florida |
Profile Details
NPI number | 1235342809 |
---|---|
LBN Legal business name | Brenner, S Paige |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2007 |
Last updated | Jan 18th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235342809 | NPPES |
Florida | Other | 6240 | LMHC |
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