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NPI Code Detail

MEDICARE: MR. STEPHEN SCHUBERT LPC, LMFT

MEDICARE:  MR. STEPHEN  SCHUBERT  LPC, LMFT
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
1101YP2500XProfessional Counselor180.008659IL
2106H00000XMarriage & Family Therapist166.000932IL
3106H00000XMarriage & Family Therapist203057TX
4101YP2500XProfessional Counselor79105TX

General Provider Information

NPI Number : 1407156557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN SCHUBERT LPC, LMFT
Provider Business Mailing Address
First Line : 2816 OLYMPIA DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8006
Country : US
Telephone Number : 210-844-3660
Fax Number :
Provider Business Practice Location Address
First Line : 1285 N MAIN ST STE 101-5
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-1511
Country : US
Telephone Number : 682-651-7621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 03/01/2018

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Directions to “ MR. STEPHEN SCHUBERT LPC, LMFT” Practice Location

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