person
Ms. Brenda Lee Stack, LMHC,CAP,NCC
Mental Health Counselor in Mims, Florida
NPI 1689725913

Brenda Lee Stack is a Mental Health Counselor based in Mims, FL and is specialized in Mental Health. Brenda Lee Stack practices in Mims, FL and has the professional credentials of LMHC,CAP,NCC. The NPI Number for Brenda Lee Stack is 1689725913 and holds a License No. MH5982 (Florida).

The current practice location address for Brenda Lee Stack is 3302 Green St, Mims, FL and can be reached out via phone at 321-268-8828 and via fax at 321-567-0888.

Location: 3302 Green St, Mims, FL, 32754-0321
person
Provider Profile Details
NPI Number
1689725913
Provider Name
Brenda Lee Stack
Credential
LMHC,CAP,NCC
Provider Entity Type
Individual
Gender
Female
Address
3302 Green St, Mims, FL, 32754-0321
Phone Number
321-268-8828
Fax Number
321-567-0888
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3302 Green St
City
State
Zip
32754-3813
Phone Number
321-268-8828
Fax Number
321-567-0888
person
Provider Business Mailing Address Details
Address
3302 Green St
City
State
Zip
32754-3813
Phone Number
321-268-8828
Fax Number
321-567-0888
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH5982 (Florida)
Definition
Definition to come...
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