Provider Demographics
NPI:1326282054
Name:ESTES, STEVEN SCOTT (MED, LPC, RPT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:SCOTT
Last Name:ESTES
Suffix:
Gender:M
Credentials:MED, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 GATEWAY DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6838
Mailing Address - Country:US
Mailing Address - Phone:334-745-0588
Mailing Address - Fax:334-745-0599
Practice Address - Street 1:2110 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6838
Practice Address - Country:US
Practice Address - Phone:334-745-0588
Practice Address - Fax:334-745-0599
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2185101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2185OtherLICENSE NUMBER-COUNSELOR