Carrasquillo-Richardson, Nakisha Marie

Carrasquillo-Richardson, Nakisha Marie is an sole proprietor health care provider with primary practice located at 1301 Plantation Island Dr S Ste. 201 A, St Augustine FL 32080-3108. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Carrasquillo-Richardson, Nakisha Marie can be contacted via phone (904) 342-5965.

Contact Information

Primary practice address
1301 Plantation Island Dr S Ste. 201 A St Augustine FL 32080-3108
Phone: (904) 342-5965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 9746 Florida

Profile Details

NPI number 1407390529
LBN Legal business name Carrasquillo-Richardson, Nakisha Marie
Credentials L. P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2016
Last updated Dec 27th, 2016 - about 8 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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