Provider Demographics
NPI:1205086675
Name:TOURNAS-HARDT, STEPHEN (LICSW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:TOURNAS-HARDT
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 371
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01262-0371
Mailing Address - Country:US
Mailing Address - Phone:413-281-9272
Mailing Address - Fax:
Practice Address - Street 1:22 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01262-0371
Practice Address - Country:US
Practice Address - Phone:413-281-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1182961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical