Provider Demographics
NPI:1184050197
Name:STEELE-TAYLOR, STACEY CHRISTINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:CHRISTINE
Last Name:STEELE-TAYLOR
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 1:6706 N 9TH AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7398
Mailing Address - Country:US
Mailing Address - Phone:850-483-1331
Mailing Address - Fax:850-361-3437
Practice Address - Street 1:6706 N 9TH AVE STE A1
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7398
Practice Address - Country:US
Practice Address - Phone:850-483-1331
Practice Address - Fax:850-361-3437
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW115911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical