Provider Demographics
NPI:1154631984
Name:STRESS & ANXIETY CENTER
Entity Type:Organization
Organization Name:STRESS & ANXIETY CENTER
Other - Org Name:STRESS & ANXIETY CENTER,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:JR
Authorized Official - Last Name:COLLINS EL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-830-4755
Mailing Address - Street 1:274 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5346
Mailing Address - Country:US
Mailing Address - Phone:307-830-4755
Mailing Address - Fax:
Practice Address - Street 1:274 WILSHIRE BLVD
Practice Address - Street 2:SUITE 241
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5346
Practice Address - Country:US
Practice Address - Phone:307-830-4755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3845251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health