MRS. STACEY ANN KORDIS (NPI# 1861022964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861022964 |
| Entity Type | Individual |
| Full Name | MRS. STACEY ANN KORDIS |
| Credential | LMHC |
| Practice Address |
2130 Nw 17th St Delray Beach FL 33445-2617 |
| Practice Telephone | 2034177886 |
| Mailing Telephone | 2034177886 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17105 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2130 NW 17TH ST |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410519 | Cristina Gutman | Counselor | 2070 Homewood Blvd Apt 206, Delray Beach, FL 33445-8210 | 2020-05-29 |
| 1902449887 | Jill Robyn Foxman | Counselor | 3340 Delray Bay Dr Apt 401, Delray Beach, FL 33483-8606 | 2019-10-23 |
| 1285275115 | Flourish Therapy Practice | Counselor | 100 E Linton Blvd Ste 300a, Delray Beach, FL 33483-3338 | 2019-10-02 |
| 1881252294 | Florida Health Services | Counselor | 1300 Nw 17th Ave Ste 152, Delray Beach, FL 33445-2554 | 2019-05-31 |
| 1538725940 | Ethos Physician Group LLC | Counselor | 140 Ne 4th Ave Ste A, Delray Beach, FL 33483-4570 | 2019-05-13 |
| 1477011583 | Aparecida R Glavin | Counselor | 2800 Casa Way, Delray Beach, FL 33445-4572 | 2019-03-07 |
| 1730644766 | Carl J Morgan | Counselor | 14000 S Military Trl Ste 108, Delray Beach, FL 33484-2600 | 2019-02-04 |
| 1093296360 | Walter Mariano Thamsten | Counselor | 200 Congress Park Dr Ste 100, Delray Beach, FL 33445-4618 | 2018-08-24 |
| 1841777083 | Carol Scerbo | Counselor | 140 Ne 4th Ave Ste Bcd&e, Delray Beach, FL 33483-4570 | 2018-07-20 |
| 1255847968 | Bridget Kathleen Glass | Counselor | 15200 S Jog Rd Ste 300, Delray Beach, FL 33446-1249 | 2017-12-18 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on MRS. STACEY ANN KORDIS.
| 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.