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1265058788 NPI number — STEPHENIE JO WOLFORD-WARD LMT, LMHC

NPI Number: 1265058788
Health Care Provider/Practitioner: STEPHENIE JO WOLFORD-WARD LMT, LMHC

Information about “1265058788” NPI (STEPHENIE JO WOLFORD-WARD LMT, LMHC) exists in 1265058788 in HTML format HTML  |  1265058788 in plain Text format TXT  |  1265058788 in PDF (Portable Document Format) PDF  |  1265058788 in an XML format XML  formats.

NPI Number : 1265058788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265058788",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOLFORD-WARD",
    "FirstName": "STEPHENIE",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMT, LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "113 E BLUE WATER EDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUSTIS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32736-2250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-949-7489",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "633 UMATILLA BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UMATILLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32784-8418",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-669-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/20/2020",
    "LastUpdateDate": "11/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "MA48563",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH15532",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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