Organization
STAEDA HEALTH LLC
Active
Other names
Staeda Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA STAATS PHD (MANAGING MEMBER)
(321) 323-3167
Entity
Organization
Contact information
Practice address
157 E NEW ENGLAND AVE STE 203, WINTER PARK, FL 32789-4346
(321) 323-3167
Mailing address
157 E NEW ENGLAND AVE STE 203, WINTER PARK, FL 32789-4346
(321) 323-3167
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
07/15/2025
Last updated
07/28/2025
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