Vangelder, Steven C

Vangelder, Steven C is an sole proprietor health care provider with primary practice located at 565 Memorial Cir , Ormond Beach FL 32174-5001. 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. Vangelder, Steven C can be contacted via phone (386) 310-8766.

Contact Information

Primary practice address
565 Memorial Cir Ormond Beach FL 32174-5001
Phone: (386) 310-8766
Fax: (386) 310-8770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X CAP 3318 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9157 Florida

Profile Details

NPI number 1023102779
LBN Legal business name Vangelder, Steven C
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Nov 25th, 2019 - about 5 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 1023102779 NPPES
Florida MEDICAID 767467800

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