Carbonell, Latoya
Carbonell, Latoya is an individual health care provider with primary practice located at 5595 S University Dr , Davie FL 33328-5307. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carbonell, Latoya can be contacted via phone (954) 276-3419.Contact Information
Primary practice address
5595 S University Dr
Davie FL 33328-5307
Phone: (954) 276-3419
Fax: (954) 965-6444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW13395 | Florida |
Profile Details
| NPI number | 1104220532 |
|---|---|
| LBN Legal business name | Carbonell, Latoya |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2014 |
| Last updated | Apr 10th, 2024 - 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 | 1104220532 | NPPES |
| Florida | MEDICAID | 118946500 |
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