Healthcare Provider Details

I. General information

NPI: 1376830349
Provider Name (Legal Business Name): STEPHANIE DAWN MCCURRY LCSWA, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE DAWN STROUPE NCLMBT

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 SEVEN MILE RIDGE RD
BURNSVILLE NC
28714-8509
US

IV. Provider business mailing address

86 N MITCHELL AVE
BAKERSVILLE NC
28705-6502
US

V. Phone/Fax

Practice location:
  • Phone: 828-675-4116
  • Fax:
Mailing address:
  • Phone: 828-688-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number26547
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number3269
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017491
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: