Pena, Lissette Lazara

Pena, Lissette Lazara is an individual health care provider with primary practice located at 4175 W 20Th Ave , Hialeah FL 33012-5874. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pena, Lissette Lazara can be contacted via phone (786) 441-5362.

Contact Information

Primary practice address
4175 W 20Th Ave Hialeah FL 33012-5874
Phone: (786) 441-5362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MH9478 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9993 Florida

Profile Details

NPI number 1669786844
LBN Legal business name Pena, Lissette Lazara
Credentials PSY D., LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Mar 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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