Fernandez, Vanessa
Fernandez, Vanessa is an individual health care provider with primary practice located at 2101 S Andrews Ave Ste 103 , Fort Lauderdale FL 33316-3459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fernandez, Vanessa can be contacted via phone (954) 434-8006.Contact Information
Primary practice address
2101 S Andrews Ave Ste 103
Fort Lauderdale FL 33316-3459
Phone: (954) 434-8006
Fax: (954) 434-0147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH13161 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH13161 | Florida |
Profile Details
NPI number | 1073787958 |
---|---|
LBN Legal business name | Fernandez, Vanessa |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2008 |
Last updated | Sep 25th, 2020 - about 5 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 | 1073787958 | NPPES |
Florida | MEDICAID | 002819800 |
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