Healthcare Provider Details

I. General information

NPI: 1568025328
Provider Name (Legal Business Name): STELLAR HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 STIRLING RD STE 103
HOLLYWOOD FL
33024-8073
US

IV. Provider business mailing address

9900 STIRLING RD STE 103
HOLLYWOOD FL
33024-8073
US

V. Phone/Fax

Practice location:
  • Phone: 954-300-2921
  • Fax:
Mailing address:
  • Phone: 954-300-2921
  • Fax: 954-901-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YVETTE L BARNES
Title or Position: PRESIDENT
Credential: LCSW
Phone: 954-300-2921