Provider Demographics
NPI:1568884021
Name:STONE & UCHA PROFRESSIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:STONE & UCHA PROFRESSIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-528-3828
Mailing Address - Street 1:219 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2218
Mailing Address - Country:US
Mailing Address - Phone:772-528-3828
Mailing Address - Fax:
Practice Address - Street 1:219 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2218
Practice Address - Country:US
Practice Address - Phone:772-528-3828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1245531961Medicaid
FL1356592026Medicaid