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General NPI Number Information
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NPI Number | 1982773347
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Entity Type | Organization
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Legal Business Name | STEPHEN W. BAILEY, LMHC PA
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 515 N FERNCREEK AVEUE
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-895-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 TAYLOR AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3130
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Country | US
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Telephone | 407-895-6448
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN WILLIAM BAILEY
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Credential | LMHC
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Telephone | 407-895-6448
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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 | MH 4618
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License Number State | FL
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