Stewart, Lisa Nelson

Stewart, Lisa Nelson is an sole proprietor health care provider with primary practice located at 1330 Se 4Th Ave Ste B , Ft Lauderdale FL 33316-1958. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stewart, Lisa Nelson can be contacted via phone (954) 917-9700.

Contact Information

Primary practice address
1330 Se 4Th Ave Ste B Ft Lauderdale FL 33316-1958
Phone: (954) 917-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4273 Florida

Profile Details

NPI number 1578693081
LBN Legal business name Stewart, Lisa Nelson
Credentials PH.D., LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1578693081 NPPES
Florida Other Z8002 BC BS PROVIDER NUMBER
Florida Other MH4273 BC BS PROVIDER NUMBER

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