Provider Demographics
NPI:1689170938
Name:STABILITY COUNSELING AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:STABILITY COUNSELING AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEHM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-550-5154
Mailing Address - Street 1:230 2ND ST STE 406
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-3174
Mailing Address - Country:US
Mailing Address - Phone:812-550-5154
Mailing Address - Fax:855-718-2663
Practice Address - Street 1:230 2ND ST STE 406
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-3174
Practice Address - Country:US
Practice Address - Phone:812-550-5154
Practice Address - Fax:855-718-2663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3299101YM0800X, 1041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1689170938Medicaid