Petersen, Elysa

Petersen, Elysa is an individual health care provider with primary practice located at 1770 Cedar St , Rockledge FL 32955-3133. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Petersen, Elysa can be contacted via phone (321) 634-6257.

Contact Information

Primary practice address
1770 Cedar St Rockledge FL 32955-3133
Phone: (321) 634-6257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0007414 Florida

Profile Details

NPI number 1649312406
LBN Legal business name Petersen, Elysa
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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