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NPI Code Detail

MEDICARE: MS. STEFANIE DORA MEYER-GOODWIN LMHC LMFT

MEDICARE: MS. STEFANIE DORA MEYER-GOODWIN LMHC LMFT
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
1106H00000XMarriage & Family TherapistMT2812FL
2101YM0800XMental Health CounselorMH11960FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11164581633OTHERFLSBH AGENCY NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174831853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEFANIE DORA MEYER-GOODWIN LMHC LMFT
Provider Business Mailing Address
First Line : 11315 CORPORATE BLVD STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8340
Country : US
Telephone Number : 407-534-0186
Fax Number : 321-972-3982
Provider Business Practice Location Address
First Line : 11315 CORPORATE BLVD STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8340
Country : US
Telephone Number : 407-534-0186
Fax Number : 321-972-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 07/04/2022

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