Provider Demographics
NPI:1518280585
Name:HEBERT, STEPHANIE DIANE (LPC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:DIANE
Last Name:HEBERT
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 1:328 DALLAS 232
Mailing Address - Street 2:
Mailing Address - City:SPARKMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71763-8732
Mailing Address - Country:US
Mailing Address - Phone:870-678-3180
Mailing Address - Fax:
Practice Address - Street 1:328 DALLAS 232
Practice Address - Street 2:
Practice Address - City:SPARKMAN
Practice Address - State:AR
Practice Address - Zip Code:71763-8732
Practice Address - Country:US
Practice Address - Phone:870-678-3180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1607071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health