Provider Demographics
NPI:1134922966
Name:GALBREATH, STEPHANIE LANE (LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LANE
Last Name:GALBREATH
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CEDAR BRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-2017
Mailing Address - Country:US
Mailing Address - Phone:205-999-3029
Mailing Address - Fax:
Practice Address - Street 1:1109 E PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2579
Practice Address - Country:US
Practice Address - Phone:205-207-5688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3728A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional