| Lisa Bentivenga Lcsw P Llc | |
|
322 W Bearss Ave Tampa FL 33613-1228 | |
| (813) 505-1949 | |
| (813) 651-5465 |
| Full Name | Lisa Bentivenga Lcsw P Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 322 W Bearss Ave, Tampa, Florida |
| Authorized Official Name and Position | Lisa Bentivenga (LSCW) |
| Authorized Official Contact | 8135051949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Bentivenga Lcsw P Llc 4010 Harbor Lake Dr Lutz FL 33558-9731 Ph: (813) 505-1949 | Lisa Bentivenga Lcsw P Llc 322 W Bearss Ave Tampa FL 33613-1228 Ph: (813) 505-1949 |
| NPI Number | 1053763169 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053763169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11270 (Florida) | Primary |
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