Stephens, Amanda D

Stephens, Amanda D is an individual health care provider with primary practice located at 505 Brevard Ave , Cocoa FL 32922-7973. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stephens, Amanda D can be contacted via phone (321) 632-5792.

Contact Information

Primary practice address
505 Brevard Ave Cocoa FL 32922-7973
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12561 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16392 Florida

Profile Details

NPI number 1730627456
LBN Legal business name Stephens, Amanda D
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2017
Last updated Oct 17th, 2018 - about 8 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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