Provider Demographics
NPI:1508529033
Name:STEGALL COUNSELING PLLC
Entity Type:Organization
Organization Name:STEGALL COUNSELING PLLC
Other - Org Name:LAUREN STEGALL COUNSELING PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEGALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, NCC, LRT/CTRS
Authorized Official - Phone:704-234-8003
Mailing Address - Street 1:120 UNIONVILLE INDIAN TRAIL ROAD
Mailing Address - Street 2:SUITE B 202
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-4650
Mailing Address - Country:US
Mailing Address - Phone:704-234-8003
Mailing Address - Fax:704-220-0678
Practice Address - Street 1:120 UNIONVILLE INDIAN TRAIL ROAD
Practice Address - Street 2:SUITE B 202
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-4650
Practice Address - Country:US
Practice Address - Phone:704-234-8003
Practice Address - Fax:704-220-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty