Averoff, Lisa

Averoff, Lisa is an sole proprietor health care provider with primary practice located at 10051 Montague St , Tampa FL 33626-1855. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Averoff, Lisa can be contacted via phone (727) 455-9290.

Contact Information

Primary practice address
10051 Montague St Tampa FL 33626-1855
Phone: (727) 455-9290
Fax: (813) 510-3694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4617 Florida

Profile Details

NPI number 1780621201
LBN Legal business name Averoff, Lisa
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Apr 11th, 2014 - about 12 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 1780621201 NPPES
Florida Other Z000L BLUE CROSS

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