Provider Information for 1700368461
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOEL SENOR LMHC
Sex: Male
NPI: 1700368461
Last Updated: 2024-06-13
Certification Date: 2024-06-13
Certification Date: 2024-06-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700368461 | ||||||||
| Enumeration Date | 2018-08-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 531 NW LAKE WHITNEY PL STE 106 PORT SAINT LUCIE, FL 34986-1619 United States Phone: 772-222-5382 | Fax: | ||||||||
| Primary Practice Address | 531 NW LAKE WHITNEY PL STE 106 PORT SAINT LUCIE, FL 34986-1619 United States Phone: 754-702-7432 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|