Hernandez, Lizbeth

Hernandez, Lizbeth is an sole proprietor health care provider with primary practice located at 10570 S Us Highway 1 Suite 200, Port St Lucie FL 34952-5606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hernandez, Lizbeth can be contacted via phone (772) 380-9972.

Contact Information

Primary practice address
10570 S Us Highway 1 Suite 200 Port St Lucie FL 34952-5606
Phone: (772) 380-9972
Fax: (772) 380-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1811046816
LBN Legal business name Hernandez, Lizbeth
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1811046816 NPPES
Florida MEDICAID 7675151000

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