Provider Demographics
NPI:1245751064
Name:STEPHEN INSTITUTE, LLC
Entity type:Organization
Organization Name:STEPHEN INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VELNETTE
Authorized Official - Middle Name:LEACH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-771-4776
Mailing Address - Street 1:9165 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8622
Mailing Address - Country:US
Mailing Address - Phone:219-771-4776
Mailing Address - Fax:601-510-8985
Practice Address - Street 1:9165 MORTON ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8622
Practice Address - Country:US
Practice Address - Phone:219-771-4776
Practice Address - Fax:601-510-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health