Godfrey, Stephen Gregg

Godfrey, Stephen Gregg is an sole proprietor health care provider with primary practice located at 1313 S Washington Ave Ste D , Titusville FL 32780-4292. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Godfrey, Stephen Gregg can be contacted via phone (321) 567-4903.

Contact Information

Primary practice address
1313 S Washington Ave Ste D Titusville FL 32780-4292
Phone: (321) 567-4903
Fax: (321) 567-4904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC6545 Florida

Profile Details

NPI number 1174630065
LBN Legal business name Godfrey, Stephen Gregg
Credentials PSYD,NCC,LMHC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Jan 26th, 2010 - about 14 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 1174630065 NPPES
Florida Other 20-1237216 TAX ID
Florida Other 10746677 TAX ID

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