Smith, Stephanie Anne
Smith, Stephanie Anne is an sole proprietor health care provider with primary practice located at 14011 Park Dr Ste 220 , Tomball TX 77377-6289. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Stephanie Anne can be contacted via phone (832) 524-3617.Contact Information
Primary practice address
14011 Park Dr Ste 220
Tomball TX 77377-6289
Phone: (832) 524-3617
Fax: (832) 201-9738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 14430 | Texas |
Profile Details
| NPI number | 1770658999 |
|---|---|
| LBN Legal business name | Smith, Stephanie Anne |
| Credentials | MA LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jan 4th, 2024 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770658999 | NPPES |
| Texas | MEDICAID | 172497301 | |
| Texas | MEDICAID | 027618003 |
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