Sorensen, Georgianna Walker

Sorensen, Georgianna Walker is an sole proprietor health care provider with primary practice located at 237 E Park Ave , Lake Wales FL 33853-3705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sorensen, Georgianna Walker can be contacted via phone (863) 676-4700.

Contact Information

Primary practice address
237 E Park Ave Lake Wales FL 33853-3705
Phone: (863) 676-4700
Fax: (863) 676-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002775 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 820192 Florida

Profile Details

NPI number 1508920786
LBN Legal business name Sorensen, Georgianna Walker
Credentials ARNP LMHC PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Apr 21st, 2015 - about 10 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 1508920786 NPPES
Other Z4905 BCBS LMHC

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