Provider Demographics
NPI:1356886816
Name:STEPHENS, TADONYA KLAYE (MA, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:TADONYA
Middle Name:KLAYE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:TADONYA
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4602 BELFIELD LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78725-2920
Mailing Address - Country:US
Mailing Address - Phone:512-709-9468
Mailing Address - Fax:
Practice Address - Street 1:4602 BELFIELD LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78725-2920
Practice Address - Country:US
Practice Address - Phone:512-709-9468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13450101YA0400X
TX78006101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)