Healthcare Provider Details

I. General information

NPI: 1265353445
Provider Name (Legal Business Name): PREFERRED PSYCH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73996 TALLASSEE HWY
WETUMPKA AL
36092-7310
US

IV. Provider business mailing address

169 FOXFIRE CT
WETUMPKA AL
36092-7524
US

V. Phone/Fax

Practice location:
  • Phone: 334-728-5390
  • Fax:
Mailing address:
  • Phone: 334-728-5390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE MARIE KITCHEN
Title or Position: OWNER/PROVIDER
Credential: DNP, PMHNP-BC
Phone: 334-707-4033