Arline, Ricketta Tiara

Arline, Ricketta Tiara is an individual health care provider with primary practice located at 260 S Marion Ave Ste 105 , Lake City FL 32025-7034. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Arline, Ricketta Tiara can be contacted via phone (800) 817-5404.

Contact Information

Primary practice address
260 S Marion Ave Ste 105 Lake City FL 32025-7034
Fax: (904) 775-3570
Website:

Health care specialties

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

Profile Details

NPI number 1649730219
LBN Legal business name Arline, Ricketta Tiara
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2019
Last updated Mar 21st, 2019 - about 7 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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