Provider Demographics
NPI:1558941971
Name:STEPHANIE PHILPOT PROFESSIONAL COUNSELING LLC
Entity Type:Organization
Organization Name:STEPHANIE PHILPOT PROFESSIONAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILPOT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-441-4900
Mailing Address - Street 1:PO BOX 1444
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-1444
Mailing Address - Country:US
Mailing Address - Phone:251-441-4900
Mailing Address - Fax:
Practice Address - Street 1:6384 BAYFRONT PARK DR
Practice Address - Street 2:STE E
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4751
Practice Address - Country:US
Practice Address - Phone:251-441-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty