Stedham, Michael Jack

Stedham, Michael Jack is an sole proprietor health care provider with primary practice located at 301 S Center St Suite 214, Arlington TX 76010-7139. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stedham, Michael Jack can be contacted via phone (817) 276-6412.

Contact Information

Primary practice address
301 S Center St Suite 214 Arlington TX 76010-7139
Phone: (817) 276-6412
Fax: (817) 276-6438
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6184 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2283 Texas

Profile Details

NPI number 1346312626
LBN Legal business name Stedham, Michael Jack
Credentials LPC LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1346312626 NPPES
Texas MEDICAID LP0026156

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