Provider Demographics
NPI:1225022825
Name:STEINER, JUDITH B (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:B
Last Name:STEINER
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 1:417 COMMERCIAL CT
Mailing Address - Street 2:SUITE E
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1655
Mailing Address - Country:US
Mailing Address - Phone:941-485-8896
Mailing Address - Fax:866-594-5970
Practice Address - Street 1:417 COMMERCIAL CT
Practice Address - Street 2:SUITE E
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1655
Practice Address - Country:US
Practice Address - Phone:941-485-8896
Practice Address - Fax:941-485-8935
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2320101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4848OtherBCBS FL
FL650505069OtherTAX IDENTIFICATION NUMBER