Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Point of Service |
305S00000X | |||
Primary Care |
261QP2300X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1194484402 |
| LBN Legal business name | STEPHANIE C. BADON, LLC |
| Authorized official | STEPHANIE BADON - (PSYCHIATRIC NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/14/2021 |
| Last updated | 02/25/2025 - More than a year ago |
| Identifiers | n/a |
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