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NPI Code Detail

MEDICARE: STEPHANIE MCCONNELL M.A.

MEDICARE: STEPHANIE MCCONNELL M.A.
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
1101YS0200XSchool CounselorAN549645LA
2171M00000XCase Manager/Care CoordinatorLA
3101YM0800XMental Health CounselorLA
4101YP2500XProfessional Counselor8559LA

General Provider Information

NPI Number : 1316306905
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MCCONNELL M.A.
Provider Business Mailing Address
First Line : PO BOX 29372
Second Line : SUITE 135
City : SHREVEPORT
State : LA
Zip : 71149-9372
Country : US
Telephone Number : 318-670-8898
Fax Number :
Provider Business Practice Location Address
First Line : 2620 CENTENARY BLVD STE 312
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-3358
Country : US
Telephone Number : 318-681-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 10/29/2025

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