Edwards, Stephen Thomas

Edwards, Stephen Thomas is an sole proprietor health care provider with primary practice located at 306 W Sadie St , Brandon FL 33510-4440. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Edwards, Stephen Thomas can be contacted via phone (813) 677-4040.

Contact Information

Primary practice address
306 W Sadie St Brandon FL 33510-4440
Fax: (813) 677-4005
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1552 Florida

Profile Details

NPI number 1700909587
LBN Legal business name Edwards, Stephen Thomas
Credentials LMFT, BCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated May 28th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700909587 NPPES
Florida MEDICAID 768633100

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