Cruz, Stephanie Marie

Cruz, Stephanie Marie is an sole proprietor health care provider with primary practice located at 4741 Old Canoe Creek Rd , Saint Cloud FL 34769-1400. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cruz, Stephanie Marie can be contacted via phone (407) 715-2099.

Contact Information

Primary practice address
4741 Old Canoe Creek Rd Saint Cloud FL 34769-1400
Phone: (407) 715-2099
Fax: (407) 891-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14407 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 14407 Florida

Profile Details

NPI number 1558634691
LBN Legal business name Cruz, Stephanie Marie
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2012
Last updated Apr 6th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558634691 NPPES
Florida MEDICAID 018959000

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