Ventimiglia, Lisa Michelle

Ventimiglia, Lisa Michelle is an sole proprietor health care provider with primary practice located at 850 Main St , Holbrook NY 11741-1604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ventimiglia, Lisa Michelle can be contacted via phone (631) 737-7406.

Contact Information

Primary practice address
850 Main St Holbrook NY 11741-1604
Phone: (631) 737-7406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 083774 New York

Profile Details

NPI number 1659658581
LBN Legal business name Ventimiglia, Lisa Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2011
Last updated Jan 27th, 2017 - about 8 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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