Bruno, Andrea Maryann
Bruno, Andrea Maryann is an sole proprietor health care provider with primary practice located at 655 W Hwy 50 Suite 104 Lifestream, Clermont FL 34711-2982. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bruno, Andrea Maryann can be contacted via phone (352) 394-5922.Contact Information
Primary practice address
655 W Hwy 50 Suite 104 Lifestream
Clermont FL 34711-2982
Phone: (352) 394-5922
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11315 | Florida |
Profile Details
NPI number | 1619193513 |
---|---|
LBN Legal business name | Bruno, Andrea Maryann |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 18th, 2007 |
Last updated | Jul 28th, 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 | 1619193513 | NPPES |
Florida | MEDICAID | 810268601 |
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