Provider Demographics
NPI:1093062457
Name:BONHOMETRE, STEPHANY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANY
Middle Name:
Last Name:BONHOMETRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5361 ROSE MARIE AVE N
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-1007
Mailing Address - Country:US
Mailing Address - Phone:561-616-1222
Mailing Address - Fax:
Practice Address - Street 1:5361 ROSE MARIE AVE N
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-1007
Practice Address - Country:US
Practice Address - Phone:561-951-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-04
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical