Provider Demographics
NPI:1043960966
Name:STEPHANIE PINSON, LCSW, PLLC
Entity Type:Organization
Organization Name:STEPHANIE PINSON, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:CUTLER
Authorized Official - Last Name:PINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-593-2330
Mailing Address - Street 1:115 KOHLERS XING STE 330
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2467
Mailing Address - Country:US
Mailing Address - Phone:512-593-2330
Mailing Address - Fax:
Practice Address - Street 1:115 KOHLERS XING STE 330
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2467
Practice Address - Country:US
Practice Address - Phone:512-593-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health