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NPI Code Detail

MEDICARE: STEPHANIE STEPHENSON LPC

MEDICARE: STEPHANIE STEPHENSON LPC
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
1101YM0800XMental Health Counselor9986LA

General Provider Information

NPI Number : 1568394203
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE STEPHENSON LPC
Provider Business Mailing Address
First Line : 123 DARTEZE DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-8112
Country : US
Telephone Number : 337-354-9708
Fax Number :
Provider Business Practice Location Address
First Line : 1003 HUGH WALLIS RD S BLDG E
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-2528
Country : US
Telephone Number : 337-534-8140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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