Blanco Lezcano, Vivian

Blanco Lezcano, Vivian is an sole proprietor health care provider with primary practice located at 12150 Sw 128Th Ct Ste 228 , Miami FL 33186-4674. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blanco Lezcano, Vivian can be contacted via phone (786) 712-7151.

Contact Information

Primary practice address
12150 Sw 128Th Ct Ste 228 Miami FL 33186-4674
Phone: (786) 712-7151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16426 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1225489180
LBN Legal business name Blanco Lezcano, Vivian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2016
Last updated Feb 23rd, 2022 - about 4 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 1225489180 NPPES
Florida MEDICAID 101362100
Florida Other MH16426

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