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Heather Stambaugh
Mental Health Counselor in Lakeland, Florida
NPI 1912221953

Heather Stambaugh is a Mental Health Counselor based in Lakeland, FL and is specialized in Mental Health. Heather Stambaugh practices in Lakeland, FL. The NPI Number for Heather Stambaugh is 1912221953 and holds a License No. MH11554 (Florida).

The current practice location address for Heather Stambaugh is 1253 W Memorial Blvd, Lakeland, FL and can be reached out via phone at 863-271-7972 and via fax at 863-272-6599.

Location: 1253 W Memorial Blvd, Lakeland, FL, 33815-0602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912221953
Provider Name
Heather Stambaugh
Credential
Provider Entity Type
Individual
Gender
Female
Address
1253 W Memorial Blvd, Lakeland, FL, 33815-0602
Phone Number
863-271-7972
Fax Number
863-272-6599
Provider Enumeration Date
03/19/2010
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007986200 05 FL
institution
Provider Business Practice Location Address Details
Address
1253 W Memorial Blvd
City
Lakeland
State
Florida
Zip
33815-0602
Phone Number
863-271-7972
Fax Number
863-272-6599
person
Provider Business Mailing Address Details
Address
1253 W Memorial Blvd
City
Lakeland
State
Florida
Zip
33815-0602
Phone Number
863-271-7972
Fax Number
863-272-6599
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH11554 (Florida)
Definition
Definition to come...
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