Provider Demographics
NPI:1962845982
Name:MARCY STERN, EDD, LMHC, PA
Entity Type:Organization
Organization Name:MARCY STERN, EDD, LMHC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-321-7665
Mailing Address - Street 1:3351 ROSE ST
Mailing Address - Street 2:OPTIONAL
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3351 ROSE ST
Practice Address - Street 2:OPTIONAL
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5706
Practice Address - Country:US
Practice Address - Phone:941-321-7665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty