Provider Demographics
NPI:1346687043
Name:BERNSTEIN, JOEL ALAN (LMHC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ALAN
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 PAYNE PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-7016
Mailing Address - Country:US
Mailing Address - Phone:941-961-3589
Mailing Address - Fax:
Practice Address - Street 1:520 PAYNE PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-7016
Practice Address - Country:US
Practice Address - Phone:941-961-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health