Provider Demographics
NPI:1760045108
Name:STETSON COUNSELING & WELLNESS LLC
Entity Type:Organization
Organization Name:STETSON COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:AHERN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, PHD
Authorized Official - Phone:772-634-5682
Mailing Address - Street 1:1555 PALM BEACH LAKES BLVD STE 1560
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2342
Mailing Address - Country:US
Mailing Address - Phone:772-634-5682
Mailing Address - Fax:
Practice Address - Street 1:1555 PALM BEACH LAKES BLVD STE 1560
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2342
Practice Address - Country:US
Practice Address - Phone:772-634-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty