Provider Demographics
NPI:1144574765
Name:BIEN, STEPHANIE ROBIN (LMFT, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ROBIN
Last Name:BIEN
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28240 AGOURA RD STE 304
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2489
Mailing Address - Country:US
Mailing Address - Phone:818-991-8282
Mailing Address - Fax:805-583-0870
Practice Address - Street 1:28240 AGOURA RD STE 304
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2489
Practice Address - Country:US
Practice Address - Phone:818-991-8282
Practice Address - Fax:805-583-0870
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 29453106H00000X
CALPC 130101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health