Provider Demographics
NPI:1609647858
Name:MICHAEL STEPHENS, PHD, LPC COUNSELING P.C.
Entity Type:Organization
Organization Name:MICHAEL STEPHENS, PHD, LPC COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:412-877-8011
Mailing Address - Street 1:12320 ROUTE 30 STE 11
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2590
Mailing Address - Country:US
Mailing Address - Phone:412-877-8011
Mailing Address - Fax:
Practice Address - Street 1:12320 ROUTE 30 STE 11
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2590
Practice Address - Country:US
Practice Address - Phone:412-877-8011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)