Provider Demographics
NPI:1841487899
Name:HUIE, STEPHANIE REAVES (MS, ALC, LBSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:REAVES
Last Name:HUIE
Suffix:
Gender:F
Credentials:MS, ALC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EAST 13 STREET
Mailing Address - Street 2:SUITE 227
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202
Mailing Address - Country:US
Mailing Address - Phone:256-237-9200
Mailing Address - Fax:256-237-9205
Practice Address - Street 1:7 EAST 13 STREET
Practice Address - Street 2:SUITE 227
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36202
Practice Address - Country:US
Practice Address - Phone:256-237-9200
Practice Address - Fax:256-237-9205
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1272A101YP2500X
AL2562B104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker