Provider Demographics
NPI:1740700715
Name:BECK, STEPHANIE M (LPCC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ROCKY BROOK DR APT C
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-8867
Mailing Address - Country:US
Mailing Address - Phone:330-441-2865
Mailing Address - Fax:
Practice Address - Street 1:66 S MILLER RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4153
Practice Address - Country:US
Practice Address - Phone:330-548-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E.1901495101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional