Stroup, Charleen Kay

Stroup, Charleen Kay is an sole proprietor health care provider with primary practice located at 107 Medical Center Ave , Sebring FL 33870-5423. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Vocational Nurse. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stroup, Charleen Kay can be contacted via phone (863) 381-4410.

Contact Information

Primary practice address
107 Medical Center Ave Sebring FL 33870-5423
Phone: (863) 381-4410
Fax: (863) 382-6299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 2646 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7283 Florida
Nursing Service Providers / Licensed Vocational Nurse 164X00000X PN1247231 Florida

Profile Details

NPI number 1215089172
LBN Legal business name Stroup, Charleen Kay
Credentials LMHC, LPN, CAP, BCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Feb 10th, 2010 - about 15 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 1215089172 NPPES
Florida Other 11530315 CAQH
Florida Other 8049 CAQH

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