Eshleman, Amy Elizabeth

Eshleman, Amy Elizabeth is an individual health care provider with primary practice located at 200 Park Place Blvd , Kissimmee FL 34741-2344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eshleman, Amy Elizabeth can be contacted via phone (407) 846-0023.

Contact Information

Primary practice address
200 Park Place Blvd Kissimmee FL 34741-2344
Fax: (407) 933-7890
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015158 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13565 Florida

Profile Details

NPI number 1255459293
LBN Legal business name Eshleman, Amy Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 26th, 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 1255459293 NPPES
Florida MEDICAID 018901200

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