Moreno, Idalmis E

Moreno, Idalmis E is an individual health care provider with primary practice located at 2840 6Th Ave S , Lake Worth FL 33461-4729. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moreno, Idalmis E can be contacted via phone (561) 383-9800.

Contact Information

Primary practice address
2840 6Th Ave S Lake Worth FL 33461-4729
Phone: (561) 383-9800
Fax: (561) 383-9855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13838 Florida

Profile Details

NPI number 1790098077
LBN Legal business name Moreno, Idalmis E
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2010
Last updated Sep 11th, 2018 - about 8 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 1790098077 NPPES
Florida MEDICAID 1790098077

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