Mosley, Bertishia Lashanti

Mosley, Bertishia Lashanti is an sole proprietor health care provider with primary practice located at 2308 Fulton Way , Largo FL 33774. She recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Mosley, Bertishia Lashanti can be contacted via phone (727) 565-9029.

Contact Information

Primary practice address
2308 Fulton Way Largo FL 33774
Phone: (727) 565-9029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Florida
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Florida
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1265918874
LBN Legal business name Mosley, Bertishia Lashanti
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2018
Last updated Jul 17th, 2018 - about 6 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 1265918874 NPPES
Florida MEDICAID 022971400

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