Weeks, Stefan Michael

Weeks, Stefan Michael is an sole proprietor health care provider with primary practice located at 400 N State Road 19 Ste 48 , Palatka FL 32177-2449. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Weeks, Stefan Michael can be contacted via phone (386) 329-8800.

Contact Information

Primary practice address
400 N State Road 19 Ste 48 Palatka FL 32177-2449
Phone: (386) 329-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7623 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW7623 Florida

Profile Details

NPI number 1669502209
LBN Legal business name Weeks, Stefan Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Apr 18th, 2022 - 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 1669502209 NPPES
Florida MEDICAID 075795100

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