Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL BRADLEY STURDIVANT, ED S LMHC
ActiveMR. MICHAEL BRADLEY STURDIVANT, ED S LMHC is a Counselor healthcare provider located in DESTIN, Florida. NPI 1972586444 is currently active in the NPPES registry. Verify at CMS.
Counselor · DESTIN, FL
Registration Details
- NPI Number
- 1972586444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2005 (20.665915980022 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MH4672 (FL)
Practice Information
- Address
-
215 MOUNTAIN DREMERALD COAST COUNSELING CENTER #106DESTIN, FL, 325412346Browse FL providers · Browse ZIP 32541
- Phone
- 8508379100
- Fax
- 8508373774
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in DESTIN, FL
| Name | Credential | NPI |
|---|---|---|
| RANDELL RUDELL BROOKE | PHD | 1710960273 |
| ERIN M HAWKINS | LCSW | 1053561126 |
| NICOLE THERESA BERG VI | LICSW | 1982321865 |
| CHARLES B LENZY | CLINICAL HYPNOTHERAP | 1801609581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.