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NPI Code Detail

MEDICARE: STEPHANIE MCDIVITT LPCC

MEDICARE: STEPHANIE MCDIVITT LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.2102629OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669081980
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MCDIVITT LPCC
Provider Business Mailing Address
First Line : 5696 STEUBENVILLE RD SE
Second Line :
City : AMSTERDAM
State : OH
Zip : 43903-9715
Country : US
Telephone Number : 330-777-9208
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-843-0665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 01/12/2024

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Directions to “ STEPHANIE MCDIVITT LPCC” Practice Location

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