Gonsalves, Lynda A

Gonsalves, Lynda A is an individual health care provider with primary practice located at 220 N Lake Ct , Kissimmee FL 34743. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gonsalves, Lynda A can be contacted via phone (321) 236-3587.

Contact Information

Primary practice address
220 N Lake Ct Kissimmee FL 34743
Phone: (321) 236-3587
Fax: (321) 250-7822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1093075954
LBN Legal business name Gonsalves, Lynda A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Jun 6th, 2018 - about 7 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 1093075954 NPPES
Florida MEDICAID 006262800

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