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Organization
STEPHANIE INC.
Active
Organization
STEPHANIE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE COLBERT (CEO)
(704) 296-1397
Entity
Organization
Contact information
Practice address
602 N MARIETTA ST, GASTONIA, NC 28052-2338
(704) 297-1396
Mailing address
PO BOX 95, GASTONIA, NC 28053-0095
(704) 297-1396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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