Provider Demographics
NPI:1467741215
Name:SZABO, STEPHANIE K (LMHC, LCAC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:SZABO
Suffix:
Gender:F
Credentials:LMHC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 PARKWAY AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-9349
Mailing Address - Country:US
Mailing Address - Phone:574-293-0005
Mailing Address - Fax:
Practice Address - Street 1:1004 PARKWAY AVE STE D
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-9349
Practice Address - Country:US
Practice Address - Phone:574-293-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000369A101YA0400X
IN39003032A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)