Russa, Lisseth

Russa, Lisseth is an sole proprietor health care provider with primary practice located at 225 S Swoope Ave Ste 211 , Maitland FL 32751-5786. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Russa, Lisseth can be contacted via phone (407) 622-0444.

Contact Information

Primary practice address
225 S Swoope Ave Ste 211 Maitland FL 32751-5786
Phone: (407) 622-0444
Fax: (407) 699-0444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH15818 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891061271
LBN Legal business name Russa, Lisseth
Credentials MS, RMHI, CBHCMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2012
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891061271 NPPES
Florida Other IMH15818 DOH

Popular Providers

  • Owes, Reginald
    1009 Maitland Center Commons Blvd #212, Maitland FL 32751-7270
  • Miranda, Philmaris
    1009 Maitland Center Commons Blvd Ste 212 , Maitland FL 32751-7270
  • Ash, Catherine Ryan
    1009 Maitland Center Commons Blvd #212, Maitland FL 32751-7270
  • Roby, Watisha
    1009 Maitland Center Commons, #212 , Maitland FL 32751
  • Mclendon, Angela
    1009 Maitland Center Commons Blvd Ste 212 , Maitland FL 32751-7270
  • Dukes, David
    1009 Maitland Center Commons Blvd # Maitland , Maitland FL 32751-7270
  • Nascimento, Ana
    1009 Maitland Center Commons Blvd , Maitland FL 32751-7270
  • Berry, Chiante
    1009 Maitland Center Commons Blvd Ste 212 , Maitland FL 32751-7270