Provider Demographics
NPI:1891456612
Name:EMILY STELL LPC
Entity Type:Organization
Organization Name:EMILY STELL LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:STELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-723-6845
Mailing Address - Street 1:463 HIGHWAY 293
Mailing Address - Street 2:
Mailing Address - City:TILLAR
Mailing Address - State:AR
Mailing Address - Zip Code:71670-9413
Mailing Address - Country:US
Mailing Address - Phone:870-723-6845
Mailing Address - Fax:
Practice Address - Street 1:821 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4143
Practice Address - Country:US
Practice Address - Phone:870-723-6845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)