Provider Demographics
NPI:1851838718
Name:STEVENS, EMILY (LMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N WEST ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-1249
Mailing Address - Country:US
Mailing Address - Phone:316-943-3399
Mailing Address - Fax:
Practice Address - Street 1:303 N WEST ST
Practice Address - Street 2:SUITE 260
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-1249
Practice Address - Country:US
Practice Address - Phone:316-943-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2629106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist