Phillips, Lascells Martin

Phillips, Lascells Martin is an sole proprietor health care provider with primary practice located at 315 N Lakemont Ave Ste.B, Winter Park FL 32792-3205. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Phillips, Lascells Martin can be contacted via phone (407) 830-6412.

Contact Information

Primary practice address
315 N Lakemont Ave Ste.B Winter Park FL 32792-3205
Phone: (407) 830-6412
Fax: (407) 830-8413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8417 Florida

Profile Details

NPI number 1538213947
LBN Legal business name Phillips, Lascells Martin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538213947 NPPES
Florida Other SW8417 LCSW

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