MEDICARE: STEPHANIE GREBE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1124865811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE GREBE LMHC

Provider Business Mailing Address
First Line	:	75 DURBIN STATION CT STE 303
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-9368
Country	:	US
Telephone Number	:	904-330-4671
Fax Number	:	324-202-1107

Provider Business Practice Location Address
First Line	:	75 DURBIN STATION CT STE 303
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-9368
Country	:	US
Telephone Number	:	904-330-4671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	02/05/2026

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