Willets, Donald Fred
Willets, Donald Fred is an sole proprietor health care provider with primary practice located at 4951 Southfork Dr , Lakeland FL 33813. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Willets, Donald Fred can be contacted via phone (863) 614-0034.Contact Information
Primary practice address
4951 Southfork Dr
Lakeland FL 33813
Phone: (863) 614-0034
Fax: (863) 937-0284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 2300 | Florida |
Profile Details
| NPI number | 1073508305 |
|---|---|
| LBN Legal business name | Willets, Donald Fred |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073508305 | NPPES |
| Florida | Other | MH2300 | STATE LIC. |
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