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NPI Code Detail

MEDICARE: ERIN STEPHENS LGPC

MEDICARE:   ERIN  STEPHENS  LGPC
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
1101YM0800XMental Health CounselorMH22015FL
2101YM0800XMental Health CounselorLC6719MD

Other Identifiers

General Provider Information

NPI Number : 1851798474
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN STEPHENS LGPC
Provider Business Mailing Address
First Line : 3398 BELLINO BLVD
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-0008
Country : US
Telephone Number : 813-957-1724
Fax Number :
Provider Business Practice Location Address
First Line : 3398 BELLINO BLVD
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-0008
Country : US
Telephone Number : 813-957-1724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2014
Last Update Date : 11/24/2025

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