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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619193513 NPPES
Florida MEDICAID 810268601

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