Reynolds, Stephanie Michelle

Reynolds, Stephanie Michelle is an individual health care provider with primary practice located at 525 Nw Lake Whitney Pl , Port Saint Lucie FL 34986-1605. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Reynolds, Stephanie Michelle can be contacted via phone (772) 492-9841.

Contact Information

Primary practice address
525 Nw Lake Whitney Pl Port Saint Lucie FL 34986-1605
Phone: (772) 492-9841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1154779288
LBN Legal business name Reynolds, Stephanie Michelle
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated May 31st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154779288 NPPES
Florida MEDICAID 900341538

Popular Providers