Provider Demographics
NPI:1669001715
Name:STONE, VINCENZA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:VINCENZA
Middle Name:
Last Name:STONE
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 1:12824 ELLIS ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7543
Mailing Address - Country:US
Mailing Address - Phone:904-707-1098
Mailing Address - Fax:
Practice Address - Street 1:12824 ELLIS ISLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-7543
Practice Address - Country:US
Practice Address - Phone:904-707-1098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health