Provider Demographics
NPI:1184094575
Name:HEBERT, STEPHANIE ANN (LMHC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANN
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1264 DELORIS DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-3223
Mailing Address - Country:US
Mailing Address - Phone:712-539-1086
Mailing Address - Fax:
Practice Address - Street 1:4521 CHADWICK RD STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8045
Practice Address - Country:US
Practice Address - Phone:319-239-3533
Practice Address - Fax:888-972-4788
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health