Nicolette, Lisa Marie
Nicolette, Lisa Marie is an sole proprietor health care provider with primary practice located at 906 Delaware Ave , Fort Pierce FL 34950-8518. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nicolette, Lisa Marie can be contacted via phone (772) 202-5661.Contact Information
Primary practice address
906 Delaware Ave
Fort Pierce FL 34950-8518
Phone: (772) 202-5661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH22494 | Florida |
Profile Details
| NPI number | 1114052289 |
|---|---|
| LBN Legal business name | Nicolette, Lisa Marie |
| Credentials | M.S., LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 28th, 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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