1225823792 NPI number — MRS. STEPHANIE MCGREEVY LPC-MHSP (TEMP)

Table of content: MRS. STEPHANIE MCGREEVY LPC-MHSP (TEMP) (NPI 1225823792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225823792 NPI number — MRS. STEPHANIE MCGREEVY LPC-MHSP (TEMP)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGREEVY
Provider First Name:
STEPHANIE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC-MHSP (TEMP)
Provider Gender Code:
F

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:
1225823792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
157 COUNTY ROAD 405
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATHENS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37303-6535
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-544-9239
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
808 WHITE STREET
Provider Second Line Business Practice Location Address:
HEALTH CONNECT AMERICA
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-252-0871
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2025

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: 101YP2500X , with the licence number:  7620 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 7620 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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