Hubbard, Lisa

Hubbard, Lisa is an individual health care provider with primary practice located at 4160 University Blvd., South , Jacksonville FL 32216. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hubbard, Lisa can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
4160 University Blvd., South Jacksonville FL 32216
Phone: (904) 376-3800
Fax: (904) 391-5394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0005519 Florida

Profile Details

NPI number 1689660144
LBN Legal business name Hubbard, Lisa
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Sep 13th, 2012 - about 12 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 1689660144 NPPES
Florida MEDICAID 761787400

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