MEDICARE: EQ STABILITY COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1043169030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQ STABILITY COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 604
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80437-0604
Country	:	US
Telephone Number	:	303-908-7130
Fax Number	:

Provider Business Practice Location Address
First Line	:	4746 S LE MASTERS DR
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-7568
Country	:	US
Telephone Number	:	303-908-7130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE FOWLER
Credential	:	LCSW
Telephone Number	:	516-313-6535

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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