Healthcare Provider Details

I. General information

NPI: 1619922903
Provider Name (Legal Business Name): STEVE CORDON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 US HIGHWAY 98 SUITE 2-A
DAPHNE AL
36526-4277
US

IV. Provider business mailing address

2868 ACTON RD
BIRMINGHAM AL
35243-2502
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-9167
  • Fax: 251-621-9003
Mailing address:
  • Phone: 205-968-8360
  • Fax: 205-268-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number396
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number396
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: