A Stable Life Counseling Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7776 Issued in FL

Legal business name

A STABLE LIFE COUNSELING SERVICES, INC.

Practice address

114 W 1St St
246
Sanford, FL 32771-1273

Phone

(321) 377-2243

Fax

(407) 680-1865

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janean Furdock, LCSWNPI 1548315138

Title

President

Phone

(321) 377-2243

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janean Furdock, LCSW

  • Clinical Social Worker
  • Eustis, FL
  • NPI 1548315138
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1609165380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 1ST ST",
            "address_2": "246",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711273",
            "telephone_number": "321-377-2243",
            "fax_number": "407-680-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 1ST ST",
            "address_2": "246",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711273",
            "telephone_number": "321-377-2243",
            "fax_number": "407-680-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STABLE LIFE COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "FURDOCK",
        "authorized_official_first_name": "JANEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-377-2243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sanford, FL
• Providers in Sanford, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.