Healthcare Provider Details

I. General information

NPI: 1841501772
Provider Name (Legal Business Name): MS. STEPHANIE HEBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 S STATE ST
FRANKLIN ID
83237-4800
US

IV. Provider business mailing address

34 S STATE ST
FRANKLIN ID
83237-4800
US

V. Phone/Fax

Practice location:
  • Phone: 435-757-8584
  • Fax:
Mailing address:
  • Phone: 435-757-8584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-6827
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number8038092-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: