Evans, Stephanie

Evans, Stephanie is an individual health care provider with primary practice located at 3280 Mitchell Blvd , Moody Afb GA 31699-1580. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evans, Stephanie can be contacted via phone (229) 257-2778.

Contact Information

Primary practice address
3280 Mitchell Blvd Moody Afb GA 31699-1580
Phone: (229) 257-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X SW16883 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW16883 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16883 Florida

Profile Details

NPI number 1477088631
LBN Legal business name Evans, Stephanie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2017
Last updated Jun 13th, 2024 - about 3 months 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 1477088631 NPPES
Florida MEDICAID 112077100

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