Braunstein, Colette
Braunstein, Colette is an sole proprietor health care provider with primary practice located at 749 State Road 60 E , Lake Wales FL 33853-4240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Braunstein, Colette can be contacted via phone (863) 676-3136.Contact Information
Primary practice address
749 State Road 60 E
Lake Wales FL 33853-4240
Phone: (863) 676-3136
Fax: (863) 678-0263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW7893 | Florida |
Profile Details
| NPI number | 1275588402 |
|---|---|
| LBN Legal business name | Braunstein, Colette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | May 9th, 2011 - about 15 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 | 1275588402 | NPPES |
| Florida | MEDICAID | 768565300 |
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