| Dr Stevie | |
|
6810 Lyons Technology Cir Ste 170 Coconut Creek FL 33073-4322 | |
| (549) 515-9899 | |
| Not Available |
| Full Name | Dr Stevie |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6810 Lyons Technology Cir Ste 170, Coconut Creek, Florida |
| Authorized Official Name and Position | Sara S Pena (OWNER) |
| Authorized Official Contact | 7273857565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stevie 6810 Lyons Technology Cir Ste 170 Coconut Creek FL 33073-4322 Ph: (727) 385-7565 | Dr Stevie 6810 Lyons Technology Cir Ste 170 Coconut Creek FL 33073-4322 Ph: (549) 515-9899 |
| NPI Number | 1104631902 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104631902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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