Smith, Marian Haftel

Smith, Marian Haftel is an sole proprietor health care provider with primary practice located at 468 Se Evergreen Dr , Lake City FL 32025-6875. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Marian Haftel can be contacted via phone (904) 206-0641.

Contact Information

Primary practice address
468 Se Evergreen Dr Lake City FL 32025-6875
Phone: (904) 206-0641
Fax: (904) 491-3337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005597 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5151 Florida

Profile Details

NPI number 1962419598
LBN Legal business name Smith, Marian Haftel
Credentials LMHC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Mar 28th, 2024 - about 8 months 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 1962419598 NPPES
Florida MEDICAID 759732100

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