Stephens, Ronny W

Stephens, Ronny W is an individual health care provider with primary practice located at 1726 Kingsley Ave Suite 2, Orange Park FL 32073-4463. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stephens, Ronny W can be contacted via phone (904) 278-5644.

Contact Information

Primary practice address
1726 Kingsley Ave Suite 2 Orange Park FL 32073-4463
Phone: (904) 278-5644
Fax: (904) 278-5659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 12441 Florida

Profile Details

NPI number 1376887315
LBN Legal business name Stephens, Ronny W
Credentials LMHC,CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated May 21st, 2014 - about 11 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 1376887315 NPPES
Florida MEDICAID 6449

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