Henneka, Stephen William

Henneka, Stephen William is an sole proprietor health care provider with primary practice located at 1100 S Ponce De Leon Blvd Ste 1 , Saint Augustine FL 32084-6013. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Henneka, Stephen William can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd Ste 1 Saint Augustine FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW0002939 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW0002939 Florida

Profile Details

NPI number 1104916428
LBN Legal business name Henneka, Stephen William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2006
Last updated Jan 14th, 2015 - about 9 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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