Provider Demographics
NPI:1285213322
Name:STEPHANIE JAMES
Entity Type:Organization
Organization Name:STEPHANIE JAMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-409-5973
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:JARRETTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21084-0103
Mailing Address - Country:US
Mailing Address - Phone:410-409-5973
Mailing Address - Fax:
Practice Address - Street 1:1118 BALDWIN MILL RD # B
Practice Address - Street 2:
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1910
Practice Address - Country:US
Practice Address - Phone:410-409-5973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty