Organization Name: | BLANCHE M STOKLEY, LMHC P.A. |
NPI Number: | 1053702555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BLANCHE M STOKLEY (OWNER) |
Mailing Address: | 225 S Swoope Ave Ste 205 Maitland |
State: | FL US |
Postal Code: | 327515786 |
Phone Number: | 4076910477 |
Fax Number: | 4076910484 |
NPI Enumeration Date: | 02/05/2015 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH0002466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |