Stephenie Jo Wolford-Ward, LMT, LMHC
Individual provider Active NPI Mental Health Counselor · Umatilla, FL
NPI 1265058788 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1265058788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH15532 (FL)
- Practice address
- 633 Umatilla Blvd
Umatilla, FL 32784-8418 - Phone
- (352) 669-8000
- NPI assigned
- Jun 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15532 | FL | MD | Mental Health Counselor |
| MA48563 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA48563 | FL | |
| Mental Health Counselor | 101YM0800X | MH15532 | FL | Yes |
Addresses
Primary practice location
633 Umatilla Blvd
Umatilla, FL 32784-8418
Mailing address
113 E Blue Water Edge Dr
Eustis, FL 32736-2250
Phone (407) 949-7489
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swolford@therecoveryvillage.com | Direct | The Recovery Village at Umatilla |
Other providers in Umatilla, FL
- Jordan Andrew Walker
- Wallace Health, LLC
- Colleen Wallace
- Michele L Walsh
- Briana Whitsitt
- Veronica C Wright
All providers in Umatilla, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.