| Ms Brenda Lee Stack, LMHC, CAP, NCC | |
|
3302 Green St, Mims, FL 32754-3813 | |
| (321) 268-8828 | |
| (321) 567-0888 |
| Full Name | Ms Brenda Lee Stack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3302 Green St, Mims, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689725913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5982 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Brenda Lee Stack, LMHC, CAP, NCC Po Box 321, Mims, FL 32754-0321 Ph: (321) 268-8828 | Ms Brenda Lee Stack, LMHC, CAP, NCC 3302 Green St, Mims, FL 32754-3813 Ph: (321) 268-8828 |
Yarinell Nmn Roman, HHP, MR, MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4155 Hog Valley Rd, Mims, FL 32754 Phone: 727-633-9700 | |
Gerald L Fitzgerald, MS MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 Burkhom Rd, Mims, FL 32754 Phone: 321-503-2069 |