| Doctor Name: | MIRIAM E STEVENS |
| NPI Number: | 1003965252 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH3072 |
| Business Practice Address: | 1040 Bayview Dr Suite 534 Fort Lauderdale, FL - 333042522 |
| Business Phone Number: | 9548290931 |
| Business Fax Number: | 9547425327 |
| Mailing Address: | 3521 Nw 75th Ter, LAUDERHILL |
| State: | FL |
| Postal Code: | 333194928 |
| Phone Number: | 9548290931 |
| Fax Number: | 9547425327 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH3072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |