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Organization

AUTHENTIC LIFE TRANSITIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANY LYNNE MAHAFFEY PHD (LICENSED PSYCHOLOGIST)
(940) 453-0872
Entity
Organization

Contact information

Practice address
3001 ALOMA AVE STE 204, WINTER PARK, FL 32792-3752
(321) 420-6095
(407) 530-1935
Mailing address
3001 ALOMA AVE STE 204, WINTER PARK, FL 32792-3752
(321) 420-6095
(407) 530-1935

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9160
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY9160
FL
103TC1900X
Counseling Psychologist
PY9160
FL

Other

Enumeration date
10/18/2017
Last updated
03/17/2018
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