=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043169030
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EQ STABILITY COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2026
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4746 S LE MASTERS DR
-----------------------------------------------------
City | EVERGREEN
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80439-7568
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-908-7130
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 604
-----------------------------------------------------
City | EVERGREEN
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80437-0604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-908-7130
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | STEPHANIE FOWLER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 516-313-6535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------