Moss, Amber Brisa

Moss, Amber Brisa is an sole proprietor health care provider with primary practice located at 922 Sw Baya Dr , Lake City FL 32025-4209. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moss, Amber Brisa can be contacted via phone (386) 754-9005.

Contact Information

Primary practice address
922 Sw Baya Dr Lake City FL 32025-4209
Phone: (386) 754-9005
Fax: (386) 754-9017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH11197 Florida

Profile Details

NPI number 1003244971
LBN Legal business name Moss, Amber Brisa
Credentials RMHCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2013
Last updated Oct 31st, 2013 - about 13 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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