Provider Demographics
NPI:1225440837
Name:SMITH, STEPHANIE RASHEA (EDD, LPC, LSSP)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:RASHEA
Last Name:SMITH
Suffix:
Gender:F
Credentials:EDD, LPC, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1984
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-0016
Mailing Address - Country:US
Mailing Address - Phone:512-893-7353
Mailing Address - Fax:
Practice Address - Street 1:111 E JACKSON ST UPPR STE 3
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-3101
Practice Address - Country:US
Practice Address - Phone:512-893-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-30
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional