Provider Demographics
NPI:1376830349
Name:MCCURRY, STEPHANIE DAWN (LCSWA, LCAS)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:DAWN
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:LCSWA, LCAS
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:DAWN
Other - Last Name:STROUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCLMBT
Mailing Address - Street 1:86 N MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28705-6502
Mailing Address - Country:US
Mailing Address - Phone:828-688-2104
Mailing Address - Fax:
Practice Address - Street 1:116 SEVEN MILE RIDGE RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-8509
Practice Address - Country:US
Practice Address - Phone:828-675-4116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0149551041C0700X
NC3269173C00000X
NC26547101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No173C00000XOther Service ProvidersReflexologist