MEDICARE: MS. JO VEAZEY STANTON M.A., LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC11387	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	MHC11387	FL
3	101YP2500X	Professional Counselor	MHC11387	FL
4	102L00000X	Psychoanalyst	MHC11387	FL

General Provider Information

NPI Number	:	1154692564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JO VEAZEY STANTON M.A., LMHC

Provider Business Mailing Address
First Line	:	3825 HENDERSON BLVD
Second Line	:	SUITE 304
City	:	TAMPA
State	:	FL
Zip	:	33629-5037
Country	:	US
Telephone Number	:	813-326-4145
Fax Number	:

Provider Business Practice Location Address
First Line	:	3825 HENDERSON BLVD
Second Line	:	SUITE 304
City	:	TAMPA
State	:	FL
Zip	:	33629-5037
Country	:	US
Telephone Number	:	813-326-4145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2012
Last Update Date	:	12/21/2025

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