MEDICARE: STELTER MFCC, INC.

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	103T00000X	Psychologist
2	106H00000X	Marriage & Family Therapist	MFC35379	CA
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215958152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELTER MFCC, INC.

Provider Business Mailing Address
First Line	:	5855 E NAPLES PLZ
Second Line	:	SUITE 302
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5855 E NAPLES PLZ
Second Line	:	SUITE 302
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5060
Country	:	US
Telephone Number	:	562-431-8822
Fax Number	:	562-431-8875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NICOLE STELTER-FLETT
Credential	:	PHD, MFT
Telephone Number	:	562-431-8822

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	09/11/2025

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