1467625467 NPI number — MS. ANGELIA STEPHENS M.ED, LPC, CEAP

Table of content: MS. ANGELIA STEPHENS M.ED, LPC, CEAP (NPI 1467625467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467625467 NPI number — MS. ANGELIA STEPHENS M.ED, LPC, CEAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEPHENS
Provider First Name:
ANGELIA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED, LPC, CEAP
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:
1467625467
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5709 ROSE HILL CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSHARON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77583-2054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-628-9952
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2225 COUNTY ROAD 90
Provider Second Line Business Practice Location Address:
SUITE 221
Provider Business Practice Location Address City Name:
PEARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77584-4890
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-628-9952
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2008

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:  19358 , 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