Healthcare Provider Details

I. General information

NPI: 1861208183
Provider Name (Legal Business Name): ROSE MARIE STABIO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW FEDERAL HWY STE 101
STUART FL
34994-1061
US

IV. Provider business mailing address

6533 EMERALD DUNES DR APT 208
WEST PALM BEACH FL
33411-2772
US

V. Phone/Fax

Practice location:
  • Phone: 772-497-0049
  • Fax: 772-232-6307
Mailing address:
  • Phone: 786-218-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: