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General NPI Number Information
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NPI Number | 1588295190
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Entity Type | Organization
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Legal Business Name | STEPHANIE M CRUZ, LLC
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Dates
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Enumeration Date | 02/01/2020
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4741 OLD CANOE CREEK RD
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1400
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Country | US
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Telephone | 407-715-2099
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Fax | 407-891-5040
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Provider Business Mailing Address
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Address Line | 3430 GOLDENEYE LN
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7765
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Country | US
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Telephone | 407-715-2099
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Fax | 407-891-5040
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR / OWNER
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Name | STEPHANIE MARIE CRUZ
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Credential | LICENSED
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Telephone | 407-715-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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