Provider Demographics
NPI:1295804557
Name:STEPIEN, PERSIS ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:PERSIS
Middle Name:ANNE
Last Name:STEPIEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PERSIS
Other - Middle Name:ANNE
Other - Last Name:DIDIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1000 OLDE EASTWOOD VILLAGE BLVD UNIT A103
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1779
Mailing Address - Country:US
Mailing Address - Phone:828-329-3339
Mailing Address - Fax:
Practice Address - Street 1:220 3RD AVE W # A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4308
Practice Address - Country:US
Practice Address - Phone:828-692-7255
Practice Address - Fax:828-692-7830
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135XUOtherBLUE CROSS BLUE SHIELD NC
NC135XUOtherBLUE CROSS BLUE SHIELD NC