Dvorak, Stephanie A

Dvorak, Stephanie A is an individual health care provider with primary practice located at 551 Burma Rd W Ste 8 , Marion NC 28752-5583. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dvorak, Stephanie A can be contacted via phone (828) 559-9595.

Contact Information

Primary practice address
551 Burma Rd W Ste 8 Marion NC 28752-5583
Phone: (828) 559-9595
Fax: (828) 544-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4988 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4988 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4988 North Carolina

Profile Details

NPI number 1164647681
LBN Legal business name Dvorak, Stephanie A
Credentials LCMHC-S/LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated May 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164647681 NPPES
North Carolina MEDICAID 6102913
North Carolina Other 1448K

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