Provider Demographics
NPI:1811410921
Name:KRESS, STEPHANIE (PMHNP-BC, LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:KRESS
Suffix:
Gender:F
Credentials:PMHNP-BC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 RIVERSIDE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5393
Mailing Address - Country:US
Mailing Address - Phone:615-438-3560
Mailing Address - Fax:949-703-8442
Practice Address - Street 1:377 RIVERSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5393
Practice Address - Country:US
Practice Address - Phone:615-438-3560
Practice Address - Fax:949-703-8442
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1408-4117C1041C0700X
TN64061041C0700X
TN257395163W00000X
TN32506363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse