Provider Demographics
NPI:1790934891
Name:STARNER, EVA MARIE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:MARIE
Last Name:STARNER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 OLD MONROVIA RD NW
Mailing Address - Street 2:UNIT 5L
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3546
Mailing Address - Country:US
Mailing Address - Phone:909-809-0285
Mailing Address - Fax:
Practice Address - Street 1:936 JEFF RD NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1238
Practice Address - Country:US
Practice Address - Phone:256-837-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3280101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health