Stephanie Bardales, BS, MS | |
517 Deltona Blvd., Suite A, Deltona, FL 32725-8016 | |
(386) 259-5413 | |
Not Available |
Full Name | Stephanie Bardales |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 517 Deltona Blvd., Deltona, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952776916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Stephanie Bardales, BS, MS 14220 Cyber Place, Apt #304, Tampa, FL 33613-6177 Ph: (954) 937-6020 | Stephanie Bardales, BS, MS 517 Deltona Blvd., Suite A, Deltona, FL 32725-8016 Ph: (386) 259-5413 |
Dr. Miguel A. Gonzalez, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Maximillian St, Deltona, FL 32725 Phone: 386-259-0647 Fax: 386-860-0074 | |
Jon Michael Mallozzi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 840 Deltona Blvd, Suite K, Deltona, FL 32725 Phone: 386-860-1776 | |
Mr. Robert Miguel Vento, MS,MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1811 Kingway Dr, Deltona, FL 32725 Phone: 386-860-5289 | |
Jenny Mondragon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725 Phone: 386-259-5413 | |
Mr. Julian Echeverry, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1055 Peak Cir., Deltona, FL 32738 Phone: 407-222-5700 | |
Britney M Hatcher, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 780 Deltona Blvd, Deltona, FL 32725 Phone: 407-906-1042 | |
Diana Mitwalli, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 571 Deltona St, Suite A, Deltona, FL 32725 Phone: 813-444-4444 |