MEDICARE: MS. STEPHANIE ANNE NUMBERS MA, 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
1	101YP2500X	Professional Counselor	6401014296	MI

General Provider Information

NPI Number	:	1821403494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE ANNE NUMBERS MA, LPC

Provider Business Mailing Address
First Line	:	509 CENTER AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5974
Country	:	US
Telephone Number	:	989-249-3227
Fax Number	:	989-509-5951

Provider Business Practice Location Address
First Line	:	509 CENTER AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5974
Country	:	US
Telephone Number	:	989-249-3227
Fax Number	:	989-509-5951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	03/11/2022

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