Healthcare Provider Details

I. General information

NPI: 1336745033
Provider Name (Legal Business Name): STEVEN MICHAEL STEIN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020
Certification Date: 11/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4374 E BUTTE AVENUE
FLORENCE AZ
85132
US

IV. Provider business mailing address

741 N LOS FELIZ DR
CHANDLER AZ
85226-2245
US

V. Phone/Fax

Practice location:
  • Phone: 520-868-0201
  • Fax:
Mailing address:
  • Phone: 480-204-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: