person
Mr. Stephen Gregg Godfrey, PSYD,NCC,LMHC
Mental Health Counselor in Titusville, Florida
NPI 1174630065

Stephen Gregg Godfrey is a Mental Health Counselor based in Titusville, FL and is specialized in Mental Health. Stephen Gregg Godfrey practices in Titusville, FL and has the professional credentials of PSYD,NCC,LMHC. The NPI Number for Stephen Gregg Godfrey is 1174630065 and holds a License No. LMHC6545 (Florida).

The current practice location address for Stephen Gregg Godfrey is 1313 S Washington Ave Ste D, Titusville, FL and can be reached out via phone at 321-567-4903 and via fax at 321-567-4904.

Location: 1313 S Washington Ave Ste D, Titusville, FL, 32780-4292
person
Provider Profile Details
NPI Number
1174630065
Provider Name
Stephen Gregg Godfrey
Credential
PSYD,NCC,LMHC
Provider Entity Type
Individual
Gender
Male
Address
1313 S Washington Ave Ste D, Titusville, FL, 32780-4292
Phone Number
321-567-4903
Fax Number
321-567-4904
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-1237216 01 FL TAX ID
10746677 01 CAQH
institution
Provider Business Practice Location Address Details
Address
1313 S Washington Ave Ste D
City
State
Zip
32780-4292
Phone Number
321-567-4903
Fax Number
321-567-4904
person
Provider Business Mailing Address Details
Address
1313 S Washington Ave Ste D
City
State
Zip
32780-4292
Phone Number
321-567-4903
Fax Number
321-567-4904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMHC6545 (Florida)
Definition
Definition to come...
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