Hertenstein, Carl Christian

Hertenstein, Carl Christian is an sole proprietor health care provider with primary practice located at 3256 W Lake Mary Blvd Suite 1100, Lake Mary FL 32746. He recently has 7 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 / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hertenstein, Carl Christian can be contacted via phone (407) 416-5611.

Contact Information

Primary practice address
3256 W Lake Mary Blvd Suite 1100 Lake Mary FL 32746
Phone: (407) 416-5611
Fax: (386) 788-3600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SW 2941 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW 2941 Florida
Behavioral Health & Social Service Providers / Pastoral 101YP1600X SW 2941 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X SW 2941 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW 2941 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 2941 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X SW 2941 Florida

Profile Details

NPI number 1841477262
LBN Legal business name Hertenstein, Carl Christian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2008
Last updated Oct 15th, 2010 - about 16 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 1841477262 NPPES
Florida Other 104100000X TAXONOMY CODE

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