Mary Ellen Stahr Lcsw Llc
LBN: Mary Ellen Stahr Lcsw Llc
Mary Ellen Stahr Lcsw Llc is an health care organization with primary practice located at 3653 Cortez Rd W Suite 110 H, Bradenton FL 34210-3168. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Mary Ellen Stahr Lcsw Llc can be contacted via phone (941) 758-1636, or through Stahr, Mary Ellen via phone (941) 758-1636.
Contact Information
Primary practice address
3653 Cortez Rd W Suite 110 H
Bradenton FL 34210-3168
Phone: (941) 758-1636
Fax: (941) 894-6224
Website:
Authorized official contact:
Name: Stahr, Mary Ellen Licensed Clinical Social Worker (LCSW)
Phone: (941) 758-1636
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1275 | Florida |
Profile Details
| NPI number | 1962769307 |
|---|---|
| LBN Legal business name | Mary Ellen Stahr Lcsw Llc |
| DBA Doing business as | |
| Authorized official | Stahr, Mary Ellen Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Jan 27th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962769307 | NPPES |
| Florida | Other | 0004477465 | AETNA |
| Florida | Other | 01128702 | AETNA |
| Florida | MEDICAID | 001713800 | AETNA |
| Florida | Other | 257481 | AETNA |
| Florida | Other | UAW065769 | AETNA |
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