Provider Demographics
NPI:1467159020
Name:GUICE, STEPHANIE MEGAN (CPC-INTERN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MEGAN
Last Name:GUICE
Suffix:
Gender:F
Credentials:CPC-INTERN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MEGAN
Other - Last Name:PIPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10300 W CHARLESTON BLVD STE 13-406
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1037
Mailing Address - Country:US
Mailing Address - Phone:702-758-3760
Mailing Address - Fax:
Practice Address - Street 1:8685 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2839
Practice Address - Country:US
Practice Address - Phone:702-754-0807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI5216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional