Hertenstein, Carl Christian
Hertenstein, Carl Christian is an sole proprietor health care provider with primary practice located at 3256 W Lake Mary Blvd Suite 1100, Lake Mary FL 32746. He recently has 7 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 / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hertenstein, Carl Christian can be contacted via phone (407) 416-5611.Contact Information
Primary practice address
3256 W Lake Mary Blvd Suite 1100
Lake Mary FL 32746
Phone: (407) 416-5611
Fax: (386) 788-3600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 2941 | Florida |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | SW 2941 | Florida |
Profile Details
NPI number | 1841477262 |
---|---|
LBN Legal business name | Hertenstein, Carl Christian |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 28th, 2008 |
Last updated | Oct 15th, 2010 - about 14 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 | 1841477262 | NPPES |
Florida | Other | 104100000X | TAXONOMY CODE |
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