Individual
ARLENE K STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHC TEP CHDAC
Contact information
Practice address
14835 SE 85TH ST, OCKLAWAHA, FL 32179-3556
(866) 473-3843
(352) 288-3343
Mailing address
14835 SE 85TH ST, OCKLAWAHA, FL 32179-3556
(866) 473-3864
(352) 288-3343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349354
ANTHEM
—
01
—
0007139568
AETNA US HEALTHCARE
—
01
—
58659000
MAGELLAN BEHAVIORAL HEALT
—
Enumeration date
09/20/2005
Last updated
12/03/2008
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