Charlemagne, Leila Teresita
Charlemagne, Leila Teresita is an individual health care provider with primary practice located at 3601 Federal Hwy , Miami FL 33137-3795. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Charlemagne, Leila Teresita can be contacted via phone (305) 567-6611.Contact Information
Primary practice address
3601 Federal Hwy
Miami FL 33137-3795
Phone: (305) 567-6611
Fax: (305) 576-0008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7299 | Florida |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY 7299 | Florida |
Profile Details
NPI number | 1134177330 |
---|---|
LBN Legal business name | Charlemagne, Leila Teresita |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Feb 16th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134177330 | NPPES |
Florida | Other | PY7299 | LICENSE |
Florida | MEDICAID | 768803200 | LICENSE |
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