Healthcare Provider Details

I. General information

NPI: 1295009009
Provider Name (Legal Business Name): CAHERINE J. STOEHR MA, LMHC, CEDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E SYBELIA AVE STE 165
MAITLAND FL
32751-4773
US

IV. Provider business mailing address

100 E SYBELIA AVE STE 165
MAITLAND FL
32751-4773
US

V. Phone/Fax

Practice location:
  • Phone: 321-277-5580
  • Fax: 407-645-4032
Mailing address:
  • Phone: 321-277-5580
  • Fax: 407-645-4032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH5812
License Number StateFL

VIII. Authorized Official

Name: MS. CATHERINE J STOEHR
Title or Position: PRESIDENT
Credential: MA, LMHC, CEDS, PA
Phone: 321-277-5580