Tanenbaum, Isabel

Tanenbaum, Isabel is an sole proprietor health care provider with primary practice located at 2950 Halcyon Ln Suite 701, Jacksonville FL 32223-6692. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tanenbaum, Isabel can be contacted via phone (904) 292-2407.

Contact Information

Primary practice address
2950 Halcyon Ln Suite 701 Jacksonville FL 32223-6692
Phone: (904) 292-2407
Fax: (904) 292-2409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP2184 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5265 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH5265 Florida

Profile Details

NPI number 1326085283
LBN Legal business name Tanenbaum, Isabel
Credentials LMHC, CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Jun 22nd, 2015 - about 11 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 1326085283 NPPES
Other 460840 VALUE OPTIONS
Other 7825255 VALUE OPTIONS
Other 2081858 VALUE OPTIONS
Other Z9784 VALUE OPTIONS

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