STEPHANIE WENTWORTH (NPI# 1063951309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063951309 |
| Entity Type | Organization |
| Organization Name | STEPHANIE WENTWORTH |
| Practice Address |
1219 Millennium Pkwy Suite 116 Brandon FL 33511-3879 |
| Practice Telephone | 8133913495 |
| Mailing Telephone | 8133913495 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | STEPHANIE WENTWORTH (OWNER) |
| Authorized Official Telephone | 8133913495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT3180 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1219 MILLENNIUM PKWY SUITE 116 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503634 | Tangela Clark Culpepper | Psychologist | 1219 Millennium Pkwy, Suite 122, Brandon, FL 33511-3894 | 2011-05-16 |
| 1861905986 | Shawn Marie North | Social Worker | 1219 Millennium Pkwy, Ste 116, Brandon, FL 33511-3891 | 2017-11-10 |
| 1942692959 | Elena Starr | Developmental Therapist | 1219 Millennium Pkwy, Suite # 104, Brandon, FL 33511-3879 | 2015-02-27 |
| 1427446004 | Spencena Simpson | Developmental Therapist | 1219 Millennium Pkwy, Suite # 104, Brandon, FL 33511-3879 | 2015-01-05 |
| 1497162481 | Jennifer A. Mannion | Counselor | 1219 Millennium Pkwy, Suite 125, Brandon, FL 33511-3879 | 2014-07-22 |
| 1689087561 | Stephanie Wentworth | Marriage & Family Therapist | 1219 Millennium Pkwy, Ste 116, Brandon, FL 33511-3879 | 2014-06-09 |
| 1922423797 | Allexelena Marrero | Developmental Therapist | 1219 Millennium Pkwy, Suite #104, Brandon, FL 33511-3879 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417335878 | Mary-kathryn Lopez | Marriage & Family Therapist | 911 S Parsons Ave Ste H, Brandon, FL 33511-6042 | 2015-05-18 |
| 1487817623 | Dianne Jones | Marriage & Family Therapist | 213 Lakebend Cir, Brandon, MS 39042-2238 | 2008-07-08 |
| 1700909587 | Stephen Thomas Edwards II | Marriage & Family Therapist | 306 W Sadie St, Brandon, FL 33510-4440 | 2007-04-09 |
| 1982772638 | Laura Mars Richardson | Marriage & Family Therapist | 2008 Devonbriar Cv, Brandon, MS 39042-2945 | 2006-12-01 |
| 1346350485 | Esther Taylor Anglade | Marriage & Family Therapist | 1700 W. Government Street, Suite 207, Brooks of Water Counseling, Brandon, MS 39042 | 2006-08-30 |
| 1508829235 | Rudina Richter | Marriage & Family Therapist | 108 Mason St, Brandon, FL 33511-5210 | 2006-04-12 |
| 1841835543 | My Next Chapter LLC | Marriage & Family Therapist | 1044 E Brandon Blvd, Brandon, FL 33511-5509 | 2019-11-18 |
| 1295391977 | Barbara Blakely | Marriage & Family Therapist | 126 Lithia Pinecrest Rd, Brandon, FL 33511-5347 | 2019-05-17 |
| 1336658152 | Erica Willer Psychotherapy, LLC | Marriage & Family Therapist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-09-25 |
| 1023544665 | Jennifer Lavecchia | Marriage & Family Therapist | 235 W Brandon Blvd, Suite 622, Brandon, FL 33511-5103 | 2017-05-02 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.