Eubank, Lisa Ann

Eubank, Lisa Ann is an sole proprietor health care provider with primary practice located at 299 Mardi Gras Ave Nw , Palm Bay FL 32907-2914. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eubank, Lisa Ann can be contacted via phone (321) 960-3859.

Contact Information

Primary practice address
299 Mardi Gras Ave Nw Palm Bay FL 32907-2914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1265877583
LBN Legal business name Eubank, Lisa Ann
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2013
Last updated Jun 13th, 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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