Rivas, Luis G

Rivas, Luis G is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rivas, Luis G can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW131146 Florida

Profile Details

NPI number 1841484375
LBN Legal business name Rivas, Luis G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Apr 20th, 2017 - about 8 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 1841484375 NPPES
Florida MEDICAID 768359600

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