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NPI Code Detail

MEDICARE: STEPHENS PSYCHIATRY & ADDICTION SERVICES PLLC

MEDICARE: STEPHENS PSYCHIATRY & ADDICTION SERVICES 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1194650770
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHENS PSYCHIATRY & ADDICTION SERVICES PLLC
Provider Business Mailing Address
First Line : 332 15TH ST
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 15TH ST
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7626
Country : US
Telephone Number : 606-922-9855
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER STEPHENS
Credential :
Telephone Number : 606-922-9855
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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