Thomas, Lisetta Florence
Thomas, Lisetta Florence is an sole proprietor health care provider with primary practice located at 501 College Ave , Fort Worth TX 76104-2270. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Thomas, Lisetta Florence can be contacted via phone (917) 817-5360.Contact Information
Primary practice address
501 College Ave
Fort Worth TX 76104-2270
Phone: (917) 817-5360
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X | NA | Texas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 18376 | Texas |
Profile Details
NPI number | 1588716138 |
---|---|
LBN Legal business name | Thomas, Lisetta Florence |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
Last updated | Jan 30th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588716138 | NPPES |
Texas | Other | NA | SCHOOL COUNSELOR |
Texas | Other | 42-1648622 | SCHOOL COUNSELOR |
Texas | Other | 18376 | SCHOOL COUNSELOR |
Texas | Other | 66915 | SCHOOL COUNSELOR |
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