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Stacey Herdegen, IMT3648,CFRA
Marriage & Family Therapist in Maitland, Florida
NPI 1275275026

Stacey Herdegen is a Marriage & Family Therapist based in Maitland, FL. Stacey Herdegen practices in Maitland, FL and has the professional credentials of IMT3648,CFRA. The NPI Number for Stacey Herdegen is 1275275026 and holds a License No. IMT3648 (Florida).

The current practice location address for Stacey Herdegen is 1275 Lake Shadow Cir Apt 13106, Maitland, FL and can be reached out via phone at 941-323-7007.

Location: 1275 Lake Shadow Cir Apt 13106, Maitland, FL, 32751-7597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275275026
Provider Name
Stacey Herdegen
Credential
IMT3648,CFRA
Provider Entity Type
Individual
Gender
Female
Address
1275 Lake Shadow Cir Apt 13106, Maitland, FL, 32751-7597
Phone Number
941-323-7007
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1275 Lake Shadow Cir Apt 13106
City
Maitland
State
Florida
Zip
32751-7597
Phone Number
941-323-7007
Fax Number
person
Provider Business Mailing Address Details
Address
1275 Lake Shadow Cir Apt 13106
City
Maitland
State
Florida
Zip
32751-7597
Phone Number
941-323-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
IMT3648 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
IMT3648 (Florida)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
IMT3648 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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