Flanders, Wilson Bezerra

Flanders, Wilson Bezerra is an sole proprietor health care provider with primary practice located at 751 Eblithedale Ave. # 643, Mill Valley CA 94942-0643. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Flanders, Wilson Bezerra can be contacted via phone (415) 647-9839.

Contact Information

Primary practice address
751 Eblithedale Ave. # 643 Mill Valley CA 94942-0643
Phone: (415) 647-9839
Fax: (415) 390-1245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 8586 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3092 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6018 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X 3902 California

Profile Details

NPI number 1720120256
LBN Legal business name Flanders, Wilson Bezerra
Credentials MA, LPCC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Dec 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720120256 NPPES
Florida Other 311546 LIFESYNCH/CORP HEALTH
Florida Other 593439351 LIFESYNCH/CORP HEALTH
Florida Other 9589228 LIFESYNCH/CORP HEALTH
Florida Other 267048 LIFESYNCH/CORP HEALTH
Florida Other 2798432 LIFESYNCH/CORP HEALTH
Florida Other 311546 LIFESYNCH/CORP HEALTH
Florida Other Z102-X LIFESYNCH/CORP HEALTH
Florida Other 2677850 LIFESYNCH/CORP HEALTH

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