Agelidis, Steven P
Agelidis, Steven P is an individual health care provider with primary practice located at 2020 S. Florida Ave Suite 207, Lakeland FL 33803. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Agelidis, Steven P can be contacted via phone (813) 290-8560.Contact Information
Primary practice address
2020 S. Florida Ave Suite 207
Lakeland FL 33803
Phone: (813) 290-8560
Fax: (863) 583-0392
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MCAP100295 | Florida |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17391 | Florida |
Profile Details
NPI number | 1861964819 |
---|---|
LBN Legal business name | Agelidis, Steven P |
Credentials | LCSW, MCAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 31st, 2018 |
Last updated | Jul 15th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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