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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1326177411 NPPES
Florida MEDICAID 768056200

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