# STACY CARMICHAEL PHD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STACY CARMICHAEL PHD LLC
- **Other names:** MindWorks Psychological Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851965339
- **Legal business name:** STACY CARMICHAEL PHD LLC
- **Authorized official:** DR. STACY LYNN CARMICHAEL PHD (OWNER)
- **Authorized official phone:** (407) 415-1450

## Contact information

- **Practice address:** 310 S DILLARD ST STE 160, WINTER GARDEN, FL 34787-3500
- **Practice address phone:** (407) 415-1450
- **Practice address fax:** (321) 234-5587
- **Mailing address:** 663 E PLANT ST, WINTER GARDEN, FL 34787-3144
- **Mailing address phone:** (727) 481-2444
- **Mailing address fax:** (321) 234-5587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TS0200X | School Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063771376 | GABY ZERPA LMHC NPI | — |
| 01 | — | 1275667750 | NPI | — |
| 01 | — | 1679122048 | DR. VISTA NPI | — |