Stevens, Kourtney G
Stevens, Kourtney G is an individual health care provider with primary practice located at 209 N Maysville St Ste 200 , Mount Sterling KY 40353-1179. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stevens, Kourtney G can be contacted via phone (859) 404-7686.Contact Information
Primary practice address
209 N Maysville St Ste 200
Mount Sterling KY 40353-1179
Phone: (859) 404-7686
Fax: (859) 498-8160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 255192 | Kentucky |
Profile Details
| NPI number | 1376083980 |
|---|---|
| LBN Legal business name | Stevens, Kourtney G |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2017 |
| Last updated | Dec 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376083980 | NPPES |
| Kentucky | MEDICAID | 7100694150 |
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