Wesley, Phyllis

Wesley, Phyllis is an individual health care provider with primary practice located at 305 N Saint Clair Abrams Ave , Tavares FL 32778-3064. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wesley, Phyllis can be contacted via phone (352) 742-0069.

Contact Information

Primary practice address
305 N Saint Clair Abrams Ave Tavares FL 32778-3064
Phone: (352) 742-0069
Fax: (352) 742-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0004133 Florida

Profile Details

NPI number 1043311657
LBN Legal business name Wesley, Phyllis
Credentials M.S., LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1043311657 NPPES
Florida Other 134646 COMPSYCH PROVIDER #
Florida Other 62-55531 COMPSYCH PROVIDER #
Florida Other 180098 COMPSYCH PROVIDER #
Florida Other 269950 COMPSYCH PROVIDER #

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