Healthcare Provider Details

I. General information

NPI: 1871923110
Provider Name (Legal Business Name): CYNTHIA KAREN STOPFORD LMHC, AP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2013
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472 SW MARQUIS TER
STUART FL
34997-1323
US

IV. Provider business mailing address

2472 SW MARQUIS TER
STUART FL
34997-1323
US

V. Phone/Fax

Practice location:
  • Phone: 860-861-5053
  • Fax:
Mailing address:
  • Phone: 860-861-5053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3494
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19043
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: