STEPHENIE JO WOLFORD-WARD (NPI# 1265058788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265058788 |
| Entity Type | Individual |
| Full Name | STEPHENIE JO WOLFORD-WARD |
| Credential | LMT, LMHC |
| Practice Address |
633 Umatilla Blvd Umatilla FL 32784-8418 |
| Mailing Address |
113 E Blue Water Edge Dr Eustis FL 32736-2250 |
| Practice Telephone | 3526698000 |
| Mailing Telephone | 4079497489 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15532 | FL | Behavioral Health & Social Service Providers |
| N | 225700000X | Massage Therapist | MA48563 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
633 UMATILLA BLVD |
| City | UMATILLA |
| State | FL |
| Zip Code | 32784-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740501915 | Christina Davis | Nurse Practitioner | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2010-06-22 |
| 1821514092 | Mamta Rao | Dietitian, Registered | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2017-08-18 |
| 1356899314 | Deanne Elizabeth Torell | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2016-09-19 |
| 1790109643 | Richard Jose Molina | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2014-02-13 |
| 1871935205 | Jessica Ann Grayburn | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-07-26 |
| 1891137709 | Jennyffer Miller | Psychiatry & Neurology | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-07-19 |
| 1982049359 | Ana Cristina Rosa | Nurse Practitioner | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-04-30 |
| 1760729669 | The Recovery Village At Umatilla | Substance Abuse Rehabilitation Facility | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-01-11 |
| 1891065322 | Vanessa Bruno Couture | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650411 | Elmer Perez | Counselor | 366 Lake St, Umatilla, FL 32784 | 2020-02-05 |
| 1780178012 | Cheryl Lee Myers | Social Worker | 41025 Thomas Boat Landing Road, Umatilla, FL 32784 | 2018-06-20 |
| 1306372115 | Norman H. Bissel IIi | Counselor | 41025 Thomas Boat Landing Rd, Umatilla, FL 32784 | 2017-05-11 |
| 1265856017 | The Recovery Village | Substance Abuse Rehabilitation Facility | 633 Umatilla Blvd., The Recovery Village, Umatilla, FL 32784 | 2014-02-14 |
| 1114214830 | Michele L Walsh | Marriage & Family Therapist | 19826 E 5th St, Umatilla, FL 32784 | 2011-07-01 |
| 1730406802 | Mary A Futch | Massage Therapist | 41444 Sr19, Unit 2, Umatilla, FL 32784 | 2010-04-28 |
| 1629280938 | David Bentley | Physical Therapy Assistant | 15745 Dora Avenue, Suite B, Tavares, FL 32784 | 2007-05-07 |
| 1023027885 | Jennifer S. Holt | Dentist | 285 South Central Ave., Umatilla, FL 32784 | 2006-08-07 |
| 1568670578 | Dixon Alan Hays | Dentist | 285 S Central Ave, Umatilla, FL 32784-2270 | 2007-05-21 |
| 1376629980 | George G Gavin | Physician Assistant | 390 S Central Ave, Umatilla, FL 32784-2325 | 2006-10-27 |
| Find all providers in zip 32784 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650411 | Elmer Perez | Counselor | 366 Lake St, Umatilla, FL 32784 | 2020-02-05 |
| 1629564976 | Derick Bugg | Counselor | 19201 Twin Ponds Rd, Umatilla, FL 32784-9220 | 2018-07-10 |
| 1306372115 | Norman H. Bissel IIi | Counselor | 41025 Thomas Boat Landing Rd, Umatilla, FL 32784 | 2017-05-11 |
| 1215179577 | Sandra K Peery | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2009-04-01 |
| 1770647281 | Pamela Renee Stonecypher | Counselor | 28535 Southshore Dr, Umatilla, OR 97882-6124 | 2006-12-20 |
| 1407494552 | Art of Counseling, Pllc | Counselor | 41025 Thomas Boat Landing Rd, Umatilla, FL 32784-9710 | 2019-12-19 |
| 1518401223 | Andrew Valdez | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-12-14 |
| 1356899314 | Deanne Elizabeth Torell | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2016-09-19 |
| 1407202559 | Bonnie Berg | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-05-08 |
| 1851717532 | Marlena Marie Aguiar | Counselor | 82911 Beach Access Rd, Umatilla, OR 97882-9419 | 2014-03-05 |
| Find all providers in UMATILLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.