Healthcare Provider Details

I. General information

NPI: 1861314163
Provider Name (Legal Business Name): STEPHEN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 TRESSER BLVD FL 9
STAMFORD CT
06901-3236
US

IV. Provider business mailing address

263 TRESSER BLVD
STAMFORD CT
06901-3236
US

V. Phone/Fax

Practice location:
  • Phone: 203-673-7317
  • Fax: 203-673-7317
Mailing address:
  • Phone: 203-673-7317
  • Fax: 203-673-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YEHARAR STEPHEN
Title or Position: OWNER
Credential: STEPHEN
Phone: 475-221-4859