Provider Demographics
NPI:1366839375
Name:CUTLER, STEPHANY LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANY
Middle Name:LYNNE
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 E MAIN ST STE 4&5
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3744
Mailing Address - Country:US
Mailing Address - Phone:828-423-0644
Mailing Address - Fax:828-544-1201
Practice Address - Street 1:26 E MAIN ST STE 4&5
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3744
Practice Address - Country:US
Practice Address - Phone:828-423-0644
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0124371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical