Provider Demographics
NPI:1982216305
Name:STEVENS, LOIS (LCSW)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 STERLING HART DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-3912
Mailing Address - Country:US
Mailing Address - Phone:903-886-2238
Mailing Address - Fax:903-886-2358
Practice Address - Street 1:2904 STERLING HART DR
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:TX
Practice Address - Zip Code:75428-3912
Practice Address - Country:US
Practice Address - Phone:903-886-2238
Practice Address - Fax:903-886-2358
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX516531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical