Leavitt, Tisha Marie

Leavitt, Tisha Marie is an sole proprietor health care provider with primary practice located at 17615 Franjo Rd , Palmetto Bay FL 33157-5636. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Leavitt, Tisha Marie can be contacted via phone (786) 268-2611.

Contact Information

Primary practice address
17615 Franjo Rd Palmetto Bay FL 33157-5636
Phone: (786) 268-2611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1114443140
LBN Legal business name Leavitt, Tisha Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated Oct 26th, 2017 - 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.

Request for update

Popular Providers