Fernandez, Vanessa

Fernandez, Vanessa is an individual health care provider with primary practice located at 2101 S Andrews Ave Ste 103 , Fort Lauderdale FL 33316-3459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fernandez, Vanessa can be contacted via phone (954) 434-8006.

Contact Information

Primary practice address
2101 S Andrews Ave Ste 103 Fort Lauderdale FL 33316-3459
Phone: (954) 434-8006
Fax: (954) 434-0147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH13161 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13161 Florida

Profile Details

NPI number 1073787958
LBN Legal business name Fernandez, Vanessa
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Sep 25th, 2020 - about 6 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 1073787958 NPPES
Florida MEDICAID 002819800

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