Provider Demographics
NPI:1598109209
Name:JORENBY, STEFANIE (LMHC,MCAP,LPC,CSAC)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:JORENBY
Suffix:
Gender:F
Credentials:LMHC,MCAP,LPC,CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5079 N DIXIE HWY # 302
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4000
Mailing Address - Country:US
Mailing Address - Phone:954-326-4295
Mailing Address - Fax:
Practice Address - Street 1:5079 N DIXIE HWY # 302
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4000
Practice Address - Country:US
Practice Address - Phone:954-326-4295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0100485101YA0400X
WI16043-132101YA0400X
WI5743-125101YP2500X
FLMH18208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional