Stacy Carmichael Phd Llc

LBN: Stacy Carmichael Phd Llc
Stacy Carmichael Phd Llc is an health care organization with primary practice located at 310 S Dillard St Ste 160 , Winter Garden FL 34787-3500. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Stacy Carmichael Phd Llc can be contacted via phone (407) 415-1450, or through Carmichael, Stacy Lynn via phone (407) 415-1450.

Contact Information

Primary practice address
310 S Dillard St Ste 160 Winter Garden FL 34787-3500
Phone: (407) 415-1450
Fax: (321) 234-5587
Website:
Map and Directions
Authorized official contact:
Name: Carmichael, Stacy Lynn PHD
Phone: (407) 415-1450

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / School 103TS0200X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1851965339
LBN Legal business name Stacy Carmichael Phd Llc
DBA Doing business as
Authorized official Carmichael, Stacy Lynn PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2021
Last updated May 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851965339 NPPES
Other 1679122048 DR. VISTA NPI
Other 1275667750 DR. VISTA NPI
Other 1063771376 DR. VISTA NPI

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