Carmona, Marta C

Carmona, Marta C is an sole proprietor health care provider with primary practice located at 12550 New Brittany Blvd Ste 100 , Fort Myers FL 33907-3655. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Carmona, Marta C can be contacted via phone (239) 343-9180.

Contact Information

Primary practice address
12550 New Brittany Blvd Ste 100 Fort Myers FL 33907-3655
Phone: (239) 343-9180
Fax: (239) 343-9188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5439 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9001 Florida

Profile Details

NPI number 1508086539
LBN Legal business name Carmona, Marta C
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated May 4th, 2023 - about 2 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 1508086539 NPPES
Florida MEDICAID 117866700

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