Roman, Vanessa L.

Roman, Vanessa L. is an sole proprietor health care provider with primary practice located at 2400 Winding Creek Blvd #16-204, Clearwater FL 33761-4326. 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. Roman, Vanessa L. can be contacted via phone (727) 330-4957.

Contact Information

Primary practice address
2400 Winding Creek Blvd #16-204 Clearwater FL 33761-4326
Phone: (727) 330-4957
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13708 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MCAP100051 Florida

Profile Details

NPI number 1518330679
LBN Legal business name Roman, Vanessa L.
Credentials LMHC, MCAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2015
Last updated Aug 25th, 2016 - about 10 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 1518330679 NPPES
Florida MEDICAID 016124800

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