1942706866 NPI number — STEPHAN DARREL WHITE LCSW

Table of content: LAURA L MILLS LCPC (NPI 1588948236)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942706866 NPI number — STEPHAN DARREL WHITE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHITE
Provider First Name:
STEPHAN
Provider Middle Name:
DARREL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942706866
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2686 MURWORTH DR , SUITE 506
Provider Second Line Business Mailing Address:
STE. 506
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77054-1610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-452-1993
Provider Business Mailing Address Fax Number:
832-253-1178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2686 MURWORTH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054-1619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-452-1993
Provider Business Practice Location Address Fax Number:
832-253-1178
Provider Enumeration Date:
03/30/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X , with the licence number:  56886 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 56886 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com