Provider Demographics
NPI:1144391087
Name:STEIN, CARMEN TERESA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:TERESA
Last Name:STEIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 PAULS DR STE A
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3897
Mailing Address - Country:US
Mailing Address - Phone:813-685-2221
Mailing Address - Fax:813-681-2208
Practice Address - Street 1:221 PAULS DR STE A
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3897
Practice Address - Country:US
Practice Address - Phone:813-685-2221
Practice Address - Fax:813-681-2208
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002284101YM0800X
TX82793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health