Individual provider · NPI-1

Mercy Lee Betts

Social Worker, Clinical · Port Charlotte, FL

NPI number1760089833
StatusActive
Last updated in NPPESOct 2, 2020

Details

NPI
1760089833
Entity type
Individual (NPI-1)
Name
Mercy Lee Betts
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2020
Certification date
Oct 2, 2020
Last updated
Oct 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
1041C0700X Social Worker, ClinicalISW14990FL

Practice location

4161 Tamiami Trl Ste 401
Port Charlotte, FL 33952-9254

Phone 941-235-2710 · Fax 941-235-2712

Mailing address

4161 Tamiami Trl Ste 401
Port Charlotte, FL 33952-9254

Phone 941-235-2710 · Fax 941-235-2712

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