Clendinen, Carol

Clendinen, Carol is an individual health care provider with primary practice located at 115 E Citrus Ave , Eustis FL 32726-4107. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Clendinen, Carol can be contacted via phone (352) 357-1500.

Contact Information

Primary practice address
115 E Citrus Ave Eustis FL 32726-4107
Phone: (352) 357-1500
Fax: (352) 360-6582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X CAP 311 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X MH 2625 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN 793372 Florida

Profile Details

NPI number 1063476265
LBN Legal business name Clendinen, Carol
Credentials LMHC, CAP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1063476265 NPPES
Florida Other Z090Q BLUE CROSS BLUE SHIELD #

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