Crisco, George

Crisco, George is an individual health care provider with primary practice located at 1221 W Lakeview Ave , Pensacola FL 32501-1857. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Crisco, George can be contacted via phone (850) 469-3500.

Contact Information

Primary practice address
1221 W Lakeview Ave Pensacola FL 32501-1857
Phone: (850) 469-3500
Fax: (850) 469-3424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3973 Florida

Profile Details

NPI number 1760477574
LBN Legal business name Crisco, George
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760477574 NPPES
Florida MEDICAID 766417600

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