STACY JO POFFENBARGER (NPI# 1336547546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336547546 |
| Entity Type | Individual |
| Full Name | STACY JO POFFENBARGER |
| Credential | CAP |
| Practice Address |
726 Selkirk St West Palm Beach FL 33405-3136 |
| Mailing Address |
726 Selkirk Street West Palm Beach FL 33405 |
| Practice Telephone | 5613987294 |
| Mailing Telephone | 5613987294 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6063 | FL | Behavioral Health & Social Service Providers |
| Street Address |
726 SELKIRK ST |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33405-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316460033 | Luis Rafael Victoria | Behavior Technician | 521 Hunter St, Apt 1, West Palm Beach, FL 33405 | 2017-07-25 |
| 1942740865 | Monica Danielle Walling | Counselor | 6107 S Dixie Hwy Ste 3, West Palm Beach, FL 33405 | 2017-02-24 |
| 1609324912 | Prime Physicians Group | Nurse Practitioner | 6600 S. Dixie Hwy, West Palm Beach, FL 33405 | 2016-09-15 |
| 1124499827 | Victoria Cunnea | Chiropractor | 605 Belvedere Rd Ste 18, West Palm Beach, FL 33405 | 2015-10-07 |
| 1902216963 | Stephanie Cheshire | Social Worker | 221 Westminster Road, West Palm Beach, FL 33405 | 2014-04-30 |
| 1245577899 | Iliana Esther Falero | Pharmacist | 828 Suthern Blvd, West Palm Beach, FL 33405 | 2013-01-15 |
| 1073894630 | Renee Lynn Rattray | Counselor | 217.5 Greenwood Drive, West Palm Beach, FL 33405 | 2011-09-08 |
| 1578851507 | Townley Peters | Psychologist | 227 Elwa Pl, West Palm Beach, FL 33405 | 2011-07-11 |
| 1679891667 | Lynda Jennifer Pardo | Pharmacist | 838 Southern Blvd, Publix Pharmacy, West Palm Beach, FL 33405 | 2010-05-14 |
| 1013167170 | Louis Theodore Joseph | Psychiatry & Neurology | 302 E Lakewood Rd, West Palm Beach, FL 33405 | 2008-09-25 |
| Find all providers in zip 33405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062362 | Sigridur Irizarry | Counselor | 400 Executive Center Dr Ste 106, West Palm Beach, FL 33401-2919 | 2019-09-18 |
| 1417431289 | The Healing & Wellness Center LLC | Counselor | 2715 N Australian Ave Ste 101, West Palm Beach, FL 33407-4500 | 2018-09-18 |
| 1285125633 | Alice Mcdonald | Counselor | 600 Executive Center Dr Apt 106, West Palm Beach, FL 33401-4938 | 2018-05-22 |
| 1417451907 | Recovery Coaches of Palm Beaches LLC | Counselor | 2377 Lena Ln, West Palm Beach, FL 33415-7276 | 2018-03-20 |
| 1376053165 | Jessica Boff | Counselor | 801 Northpoint Pkwy Ste 88, West Palm Beach, FL 33407-1812 | 2017-10-05 |
| 1679021133 | Theresa Olson | Counselor | 1640 Presidential Way, Apt A301, West Palm Beach, FL 33401-1859 | 2016-09-13 |
| 1730546862 | Domus Leonum LLC | Counselor | 1551 Forum Place, Building 400 Suite D/e, West Palm Beach, FL 33401-5505 | 2016-01-20 |
| 1255728465 | Michael Seville Jr. | Counselor | 1675 40th St, West Palm Beach, FL 33407-3641 | 2015-04-26 |
| 1710373972 | Jessie Huebner | Counselor | 224 Datura St Ste 1015, West Palm Beach, FL 33401-5638 | 2015-04-14 |
| 1396155420 | Elevation Recovery Inc | Counselor | 1509 N Military Trl, West Palm Beach, FL 33409-4765 | 2014-04-28 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33405 |
Please comment or provide details below to improve the information on STACY JO POFFENBARGER.
| 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.