Provider Demographics
NPI:1780150128
Name:LAIZE, STEPHANIE (LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:LAIZE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 N MESA ST STE 803
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4655
Mailing Address - Country:US
Mailing Address - Phone:915-995-8800
Mailing Address - Fax:915-595-8878
Practice Address - Street 1:6006 N MESA ST STE 803
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4655
Practice Address - Country:US
Practice Address - Phone:915-995-8800
Practice Address - Fax:915-995-8878
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77144101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional