Michael Bradley Sturdivant in Destin - Counselor
Michael Bradley Sturdivant - NPI 1972586444
Michael Bradley Sturdivant is a Counselor in Destin, Florida. Michael Bradley Sturdivant practices all healthcare services and medical treatments related to Counselor. The NPI Number for Michael Bradley Sturdivant is 1972586444. The last update date is 2007-07-08.
Michael Bradley Sturdivant's current location address is 215 Mountain Dr, Destin, Florida. You can contact this provider via phone number 8508379100 and fax number 8508373774. The mailing address for Michael Bradley Sturdivant is 215 Mountain Dr, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Bradley Sturdivant |
|---|---|
| Address | 215 Mountain Dr, Destin, Florida |
| Phone Number | 8508379100 |
| Fax Number | 8508373774 |
| Sole Proprietor | X |
| Credentials | ED S LMHC |
NPI Number Detail
| NPI Number | 1972586444 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 Mountain Dr |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325412346 |
| Phone Number | 8508379100 |
| Fax Number | 8508373774 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | MH4672 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 460869 | VALUE OPTIONS | ||
| Z8561 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Bradley Sturdivant by the Centers for Medicare & Medicaid Services?
The Michael Bradley Sturdivant has been issued the NPI (National Provider Identifier) 1972586444 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Bradley Sturdivant is located?
The Michael Bradley Sturdivant is situated at the following address: 215 Mountain Dr, Destin, FL, 325412346.
What is Michael Bradley Sturdivant's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Bradley Sturdivant is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Michael Bradley Sturdivant receive the assignment of its 1972586444 from the Centers for Medicare & Medicaid Services?
The Michael Bradley Sturdivant was issued its 1972586444 by the Centers for Medicare & Medicaid Services on 2005-11-29.
When was the information related to Michael Bradley Sturdivant most recently updated or refreshed?
The details pertaining to the Michael Bradley Sturdivant, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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