Healthcare Provider Details

I. General information

NPI: 1801372636
Provider Name (Legal Business Name): STEPHANIE MARGARET PLUMLEY MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE MARGARET ZENTENO MA, LPC

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 20TH ST STE 205
HUNTINGTON WV
25703-2071
US

IV. Provider business mailing address

1115 20TH ST STE 205
HUNTINGTON WV
25703-2071
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-1568
  • Fax: 304-523-4358
Mailing address:
  • Phone: 304-691-1568
  • Fax: 304-523-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1965
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: