Organization Name: | STEPHANIE S BILLMAN, LPC, PC |
NPI Number: | 1093172454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE SHAYNE BILLMAN (PSYCHOTHERAPIST) |
Mailing Address: | 2380 3rd St S Suite 2 Jacksonville Beach |
State: | FL US |
Postal Code: | 322504072 |
Phone Number: | 9048854713 |
Fax Number: | 9047216629 |
NPI Enumeration Date: | 01/15/2016 |
NPI Last Update Date: | 01/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH12878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |