MRS. GLENDORIA STEPHENS (NPI# 1588834725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588834725 |
| Entity Type | Individual |
| Full Name | MRS. GLENDORIA STEPHENS |
| Credential | LMHC |
| Practice Address |
3875 Tiger Bay Rd Rm 914 Bldg I Daytona Beach FL 32124 |
| Practice Telephone | 3869471434 |
| Mailing Telephone | 3863232202 |
| Mailing Fax Number | 3863232274 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH8403 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3875 TIGER BAY RD RM 914 BLDG I |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285196 | Leon F. Stewart-hal S. Marchman Center, Inc. | Clinic/Center | 3875 Tiger Bay Rd, Daytona Beach, FL 32124-1063 | 2005-06-14 |
| 1811298243 | Judith Kay Wisher | Counselor | 3875 Tiger Bay Rd, Daytona Beach, FL 32124-1063 | 2010-11-17 |
| 1013171537 | Stewart Marchman Center Inc | Community/Behavioral Health | 3875 Tiger Bay Rd, Daytona Beach, FL 32124-1063 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648841 | Hakeem B. Rufai | Counselor | 1220 Willis Ave # 81, Daytona Beach, FL 32114-2810 | 2019-03-18 |
| 1891050936 | Karen Mitchell | Counselor | 1323 S Shangri La Dr, Daytona Beach, FL 32119-1502 | 2012-07-04 |
| 1982998811 | Arlicia Thomas | Counselor | 808 Kathy St, Daytona Beach, FL 32114-6037 | 2011-06-08 |
| 1346546686 | Nancy B. Figueroa | Counselor | 211 N Ridgewood Ave, Suite 204, Daytona Beach, FL 32114-7515 | 2011-02-03 |
| 1447735261 | Katarzyna Hanna Potocka | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-09-27 |
| 1619485315 | Symone Ayana Ellis | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-16 |
| 1295242709 | Amy Kundinger | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-05 |
| 1366959264 | Kayla Marie Goldsby | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1730696634 | Justin William Knighton | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1194232140 | Shaneqwa Credle | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
Please comment or provide details below to improve the information on MRS. GLENDORIA STEPHENS.
| 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.