Healthcare Provider Details

I. General information

NPI: 1669332995
Provider Name (Legal Business Name): STEPHANIE ANNE ASTER GARREAU LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N FEDERAL HWY STE 210
BOCA RATON FL
33431-5195
US

IV. Provider business mailing address

8491 LYONS RANCHES RD
BOYNTON BEACH FL
33472-4412
US

V. Phone/Fax

Practice location:
  • Phone: 561-783-5665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH15554
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: