Provider Demographics
NPI:1942454707
Name:NOLDER, STEFANIE HAYS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:HAYS
Last Name:NOLDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 MONTEBELLO CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-7938
Mailing Address - Country:US
Mailing Address - Phone:850-933-8460
Mailing Address - Fax:
Practice Address - Street 1:2134 MONTEBELLO CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-7938
Practice Address - Country:US
Practice Address - Phone:850-933-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW90741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical