Brathwaite, Stacy
Brathwaite, Stacy is an sole proprietor health care provider with primary practice located at 2565 Judge Fran Jamieson Way , Viera FL 32940-5998. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brathwaite, Stacy can be contacted via phone (321) 409-2136.Contact Information
Primary practice address
2565 Judge Fran Jamieson Way
Viera FL 32940-5998
Phone: (321) 409-2136
Fax: (321) 409-2140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1932416369 |
|---|---|
| LBN Legal business name | Brathwaite, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2010 |
| Last updated | Jan 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932416369 | NPPES |
| Florida | MEDICAID | 002562400 |
Popular Providers
-
Farrell, Amanda Frances
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Fairbanks, Amy
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Lehman, Ashley
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Gould, Heather
2565 Judge Fran Jamieson Way , Viera FL 32940 -
Penney, Jessica Cortney
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Mcgaw, Andreia
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Speck, Robin Marie
2565 Judge Fran Jamieson Way , Viera FL 32940-5998 -
Winslow, Becky Anne
2565 Judge Fran Jamieson Way , Viera FL 32940-5998