Provider Demographics
NPI:1477311579
Name:STEPHENSON, MONICA (LMFT-A, LPC-A)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:LMFT-A, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140271
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-0271
Mailing Address - Country:US
Mailing Address - Phone:469-626-9276
Mailing Address - Fax:
Practice Address - Street 1:2752 GASTON AVE APT 1221
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-2743
Practice Address - Country:US
Practice Address - Phone:832-725-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist