Organization Name: | E-PSYCHOTHERAPY ASSOCIATES, INC |
NPI Number: | 1174773444 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT WILLIAM STEWART (PRESIDENT) |
Mailing Address: | 5703 Red Bug Lake Rd Suite 537 Winter Springs |
State: | FL US |
Postal Code: | 327084969 |
Phone Number: | 4073121439 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSWSW7915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |