Individual provider · Type 1 NPI
Brenda Lee Stack, LMHC, CAP, NCC
Mental Health Counselor · Mims, FL
NPI number
1689725913
Active
Practice location
3302 Green St
Mims, FL 32754-3813
Fax (321) 567-0888
Mailing address
PO Box 321
Mims, FL 32754-0321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH5982 (FL) |
Mental Health Counselor: Definition to come...
About NPI 1689725913
Brenda Lee Stack, LMHC, CAP, NCC's National Provider Identifier is 1689725913, issued on Jan 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mims, FL. The record was last updated on Jul 12, 2008.