MR. MICHAEL BRADLEY STURDIVANT ED S LMHC NPI 1972586444

NPI Information

  • NPI: 1972586444
  • Provider Name: MR. MICHAEL BRADLEY STURDIVANT, ED S LMHC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 215 MOUNTAIN DR
    EMERALD COAST COUNSELING CENTER #106
    DESTIN, FL
    ZIP 32541
  • Phone: (850) 837-9100

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NPI Details

MR. Michael Bradley Sturdivant, ED S LMHC is a counselor in Destin, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Michael Bradley Sturdivant, ED S LMHC NPI is 1972586444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 MOUNTAIN DR
EMERALD COAST COUNSELING CENTER #106
DESTIN, FL
ZIP 32541-346
Phone: (850) 837-9100
Fax: (850) 837-3774

The enumeration date for this NPI number is 11/29/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorMH4672FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1460869OTHERVALUE OPTIONS
2Z8561OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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