IndividualActive
Brenda Stack, LMHC, CAP, NCC
NPI 1689725913 · Mental Health Counselor · Mims, FL
Provider details
- NPI number
- 1689725913
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC, CAP, NCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- MH5982 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3302 Green St
Mims, FL 32754-3813
Phone: (321) 268-8828
Fax: (321) 567-0888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 321
Mims, FL 32754-0321
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2008-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.