Provider Demographics
NPI:1417726258
Name:FITZPATRICK, STEPHANIE SIRY (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SIRY
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WOODLEIGH RD APT 202
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-1475
Mailing Address - Country:US
Mailing Address - Phone:803-522-5732
Mailing Address - Fax:
Practice Address - Street 1:1 OAK PLZ STE 208
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3000
Practice Address - Country:US
Practice Address - Phone:828-575-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health