Modzelewski, Trisha Ann
Modzelewski, Trisha Ann is an individual health care provider with primary practice located at 9703 Nw 16Th St , Pembroke Pines FL 33024-4474. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Modzelewski, Trisha Ann can be contacted via phone (954) 756-5491.Contact Information
Primary practice address
9703 Nw 16Th St
Pembroke Pines FL 33024-4474
Phone: (954) 756-5491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | MH7123 | Florida |
Profile Details
| NPI number | 1326177411 |
|---|---|
| LBN Legal business name | Modzelewski, Trisha Ann |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Feb 27th, 2023 - about 2 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 | 1326177411 | NPPES |
| Florida | MEDICAID | 768056200 |
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