Individual
MRS. LISSETH RUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RMHI, CBHCMS
Contact information
Practice address
225 S SWOOPE AVE STE 211, MAITLAND, FL 32751-5786
(407) 622-0444
(407) 699-0444
Mailing address
8228 LOST LAKE DR., ORLANDO, FL 32817-1384
(862) 754-7373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH15818
FL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH15818
DOH
FL
Enumeration date
03/29/2012
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us