Search › Florida › 171M00000X
Lisseth Russa, MS, RMHI, CBHCMS
NPI 1891061271 · on the registry since 2012 · sole proprietor
Practice
- Address
- 225 S Swoope Ave Ste 211
Maitland, FL 32751 - Phone
- (407) 622-0444
- Fax
- (407) 699-0444
- Organisation at this address
- Trust & Hope Llc
Community Life Dev
Blanche M Stokley, Lmhc P.A.
Changing Directions Of America, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 57
Additional practice sites
- 8228 Lost Lake Dr, Orlando, FL
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
104100000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida