Moss, Lorraine K

Moss, Lorraine K is an sole proprietor health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moss, Lorraine K can be contacted via phone (239) 791-1586.

Contact Information

Primary practice address
2789 Ortiz Ave Fort Myers FL 33905-7806
Phone: (239) 791-1586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5371 Florida

Profile Details

NPI number 1164780581
LBN Legal business name Moss, Lorraine K
Credentials MS, CAP,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2012
Last updated Jun 2nd, 2014 - about 12 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 1164780581 NPPES
Florida Other 5371 CAP

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