Provider Demographics
NPI:1013401140
Name:CALVIT, STEPHEN M (LCPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:M
Last Name:CALVIT
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 RED DEER CIR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2046
Mailing Address - Country:US
Mailing Address - Phone:832-492-0120
Mailing Address - Fax:
Practice Address - Street 1:3918 RED DEER CIR
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2046
Practice Address - Country:US
Practice Address - Phone:832-492-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8653101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health