Potra, Elena N/A

Potra, Elena N/A is an sole proprietor health care provider with primary practice located at 3500 N State Road 7 Ste 211 , Lauderdale Lakes FL 33319-5625. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Potra, Elena N/A can be contacted via phone (954) 578-8399.

Contact Information

Primary practice address
3500 N State Road 7 Ste 211 Lauderdale Lakes FL 33319-5625
Phone: (954) 578-8399
Fax: (954) 578-0145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1851606297
LBN Legal business name Potra, Elena N/A
Credentials PH.D.FC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2010
Last updated Aug 10th, 2010 - about 15 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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