Provider Demographics
NPI:1629335393
Name:MARLOWE, STEPHANIE L (LPC, PHD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:MARLOWE
Suffix:
Gender:F
Credentials:LPC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1553
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145
Mailing Address - Country:US
Mailing Address - Phone:870-919-3896
Mailing Address - Fax:877-310-6350
Practice Address - Street 1:510 W ARCH AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5204
Practice Address - Country:US
Practice Address - Phone:870-919-3896
Practice Address - Fax:870-310-6350
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0801003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5AH40OtherBCBS
ARP0801003OtherLPC
AR195435795Medicaid