Individual
STEPHANIE JO REI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, C-SSWS
Contact information
Practice address
539 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8554
(318) 540-8576
Mailing address
539 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8554
(318) 540-8576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14565
LA
171M00000X
Case Manager/Care Coordinator
280429
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-2957479
AWAKENING GRACE THERAPY LLC
—
Enumeration date
10/08/2008
Last updated
02/20/2025
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