NPI 1609165380 · live from the CMS NPI Registry
A Stable Life Counseling Services, INC.
Social Worker, Clinical in Sanford, FL. National Provider Identifier 1609165380, active.
NPI record
| NPI | 1609165380 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 114 W 1st St, 246, Sanford, FL 32771 |
| Practice phone | 321-377-2243 |
| Enumerated | April 1, 2011 |
| Last updated | April 1, 2011 |
| Authorized official | Janean Furdock, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | MH7013 (FL) |
| Social Worker, Clinical primary | 1041C0700X | SW7776 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.