Provider Demographics
NPI:1073898698
Name:STRONG, STEFANIE (PHD, LSDUC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:PHD, LSDUC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 ALEO ST
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9504
Mailing Address - Country:US
Mailing Address - Phone:405-274-2500
Mailing Address - Fax:
Practice Address - Street 1:144 ALEO ST
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9504
Practice Address - Country:US
Practice Address - Phone:405-274-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-830-0106H00000X
UT11246200-3902106H00000X
OK1230101YM0800X
UT11246200-6006101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)