Healthcare Provider Details

I. General information

NPI: 1760882682
Provider Name (Legal Business Name): STEPHANIE ZEBROWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE KELLEY

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 GOLD AVE SW STE 102
ALBUQUERQUE NM
87102-3187
US

IV. Provider business mailing address

11676 PERRY HWY STE 2100
WEXFORD PA
15090-7203
US

V. Phone/Fax

Practice location:
  • Phone: 412-389-0576
  • Fax:
Mailing address:
  • Phone: 610-892-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2022-0059
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC017488
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017488
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: