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Organization

STAGES HEALTH & WELLNESS, LLC

Active
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Organization

STAGES HEALTH & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MONIQUE L MANDERSON FNP-C, PMHNP-BC (CEO/FOUNDER)
(863) 837-4867
Entity
Organization

Contact information

Practice address
122 E MAIN ST STE 124, LAKELAND, FL 33801-4655
(863) 837-4867
(863) 228-8510
Mailing address
122 E MAIN ST STE 124, LAKELAND, FL 33801-4655
(863) 837-4867
(863) 228-8510

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012605
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
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Other

Enumeration date
01/05/2018
Last updated
02/18/2026
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