MEDICARE: THE ASSESSOR NETWORK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 6211	FL

General Provider Information

NPI Number	:	1245445899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ASSESSOR NETWORK, INC.

Provider Business Mailing Address
First Line	:	520 NE 542 ST
Second Line	:
City	:	OLD TOWN
State	:	FL
Zip	:	32680-3818
Country	:	US
Telephone Number	:	305-582-4736
Fax Number	:	352-542-7291

Provider Business Practice Location Address
First Line	:	520 NE 542 ST
Second Line	:
City	:	OLD TOWN
State	:	FL
Zip	:	32680-3818
Country	:	US
Telephone Number	:	305-582-4736
Fax Number	:	352-542-7291

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SYLVIA G LAMENTA
Credential	:	DSC
Telephone Number	:	305-582-4736

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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