Provider Demographics
NPI:1457783540
Name:ALLEN, STEPHANIE OAKES (MA/EDS, LPCA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:OAKES
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA/EDS, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 COMMERCIAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-2400
Mailing Address - Country:US
Mailing Address - Phone:828-248-1117
Mailing Address - Fax:828-248-1126
Practice Address - Street 1:132 COMMERCIAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2400
Practice Address - Country:US
Practice Address - Phone:828-248-1117
Practice Address - Fax:828-248-1126
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10086101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional