Mira, Lisette

Mira, Lisette is an individual health care provider with primary practice located at 700 S Royal Poinciana Blvd Ste 300 , Miami Springs FL 33166-6667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mira, Lisette can be contacted via phone (305) 668-9000.

Contact Information

Primary practice address
700 S Royal Poinciana Blvd Ste 300 Miami Springs FL 33166-6667
Phone: (305) 668-9000
Fax: (305) 662-1788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW12313 Florida

Profile Details

NPI number 1558694737
LBN Legal business name Mira, Lisette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2009
Last updated Mar 15th, 2016 - about 8 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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