Tai, Nyssa Jae

Tai, Nyssa Jae is an individual health care provider with primary practice located at 232 N Orange Blossom Trl , Orlando FL 32805-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tai, Nyssa Jae can be contacted via phone (407) 428-5751.

Contact Information

Primary practice address
232 N Orange Blossom Trl Orlando FL 32805-1612
Phone: (407) 428-5751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12579 Florida

Profile Details

NPI number 1942554340
LBN Legal business name Tai, Nyssa Jae
Credentials LCSW, MCAP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Jan 23rd, 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 1942554340 NPPES
Florida Other IE922Z INDIVIDUAL PRATICTITIONER LINKED TO AN ORGANIZATION

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