Leavitt, Tisha Marie
Leavitt, Tisha Marie is an sole proprietor health care provider with primary practice located at 17615 Franjo Rd , Palmetto Bay FL 33157-5636. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Leavitt, Tisha Marie can be contacted via phone (786) 268-2611.Contact Information
Primary practice address
17615 Franjo Rd
Palmetto Bay FL 33157-5636
Phone: (786) 268-2611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / School | 1041S0200X |
Profile Details
| NPI number | 1114443140 |
|---|---|
| LBN Legal business name | Leavitt, Tisha Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2017 |
| Last updated | Oct 26th, 2017 - about 9 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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