Organization
BAYLIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M STEVENSON LMHC, CAP (MANAGING MEMBER)
(727) 741-0704
Entity
Organization
Contact information
Practice address
6611 US HIGHWAY 19, SUITE 203, NEW PORT RICHEY, FL 34652-1732
(727) 741-0704
(888) 972-7961
Mailing address
6611 US HIGHWAY 19, SUITE 203, NEW PORT RICHEY, FL 34652-1732
(727) 741-0704
(888) 972-7961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7098
FL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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