Larissa Humiston, Lcsw

LBN: Larissa Humiston, Lcsw
Larissa Humiston, Lcsw is an health care organization with primary practice located at 1414 Gay Rd Ste 205 , Winter Park FL 32789-2928. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Larissa Humiston, Lcsw can be contacted via phone (407) 415-1175, or through Humiston, Larissa K via phone (407) 415-1175.

Contact Information

Primary practice address
1414 Gay Rd Ste 205 Winter Park FL 32789-2928
Phone: (407) 415-1175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Humiston, Larissa K Licensed Clinical Social Worker (LCSW)
Phone: (407) 415-1175

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1962976647
LBN Legal business name Larissa Humiston, Lcsw
DBA Doing business as
Authorized official Humiston, Larissa K Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jun 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962976647 NPPES
Other 1538478714 INSURANCE PANELS

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