Stark, Ron
Stark, Ron is an sole proprietor health care provider with primary practice located at 3000 N Atlantic Ave Ste 102 , Cocoa Beach FL 32931-5045. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stark, Ron can be contacted via phone (321) 784-5367.Contact Information
Primary practice address
3000 N Atlantic Ave Ste 102
Cocoa Beach FL 32931-5045
Phone: (321) 784-5367
Fax: (321) 783-2290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY2385 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH17239 | Florida |
Profile Details
NPI number | 1710531314 |
---|---|
LBN Legal business name | Stark, Ron |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2019 |
Last updated | Jul 31st, 2019 - about 6 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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