# STEPHEN J ENNS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942666839
- **Authorized official:** MARTI HERNDON (OFFICE MANAGER)
- **Authorized official phone:** (803) 649-0808

## Contact information

- **Practice address:** 224 GREENVILLE ST NW, AIKEN, SC 29801-3946
- **Practice address phone:** (803) 649-0808
- **Practice address fax:** (803) 649-5900
- **Mailing address:** 224 GREENVILLE ST NW, AIKEN, SC 29801-3946
- **Mailing address phone:** (803) 649-0808
- **Mailing address fax:** (803) 649-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | SC | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 14838 | SC | Yes |

## Other

- **Enumeration date:** 01/07/2016
- **Last updated:** 01/07/2016