DR. STACEY NICOLE ALVIA BRODIE WALKER (NPI# 1285106880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285106880 |
| Entity Type | Individual |
| Full Name | DR. STACEY NICOLE ALVIA BRODIE WALKER |
| Practice Address |
150 S Pine Island Rd Ste 300 Plantation FL 33324-2665 |
| Mailing Address |
9916 Nob Hill Ln Sunrise FL 33351-4665 |
| Practice Telephone | 7548019750 |
| Mailing Telephone | 7548019750 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY8168 | FL | Behavioral Health & Social Service Providers |
| Street Address |
150 S PINE ISLAND RD STE 300 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427123470 | Vanessa Soto | Counselor | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2006-11-22 |
| 1578186284 | Tamara Ruth Sabbagh Delisle | Social Worker | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2020-05-28 |
| 1497382766 | Walk Tall Counseling Center LLC | Counselor | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2020-03-25 |
| 1437797420 | Nutrition In Motion | Dietitian, Registered | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2019-12-20 |
| 1750844130 | Exum Life Counseling, Mediation, & Training Services, Inc. | Marriage & Family Therapist | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2019-04-11 |
| 1063957611 | Krystal Antionette Farnum | Counselor | 150 S Pine Island Rd Ste 300, Plantation, FL 33324-2665 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259388 | Caryn Watsky-scileppi | Psychologist | 120 S University Dr Ste A, Plantation, FL 33324-3330 | 2017-11-29 |
| 1215956404 | Eshagh Shehniyilagh | Psychologist | 300 S Pine Island Rd Ste 220, Plantation, FL 33324-2620 | 2006-07-19 |
| 1780841908 | Lisa Saponaro Phd Inc | Psychologist | 2 S University Dr, Suite 304, Plantation, FL 33324-3355 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465279 | Ronald Mark Sherman | Psychologist | 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 | 2020-10-22 |
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on DR. STACEY NICOLE ALVIA BRODIE WALKER.
| 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.