Individual
STEPHANIE LYN TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMHC LCAC
Contact information
Practice address
5770 W DAFFODIL CT, BLOOMINGTON, IN 47403-8201
(765) 586-3168
Mailing address
5770 W DAFFODIL CT, BLOOMINGTON, IN 47403-8201
(765) 586-3168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001740A
IN
101YM0800X
Mental Health Counselor
Primary
39004456A
IN
101YM0800X
Mental Health Counselor
E2404780
OH
Other
Enumeration date
12/07/2023
Last updated
03/25/2026
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