Provider Demographics
NPI:1871092775
Name:NOLEN, STEPHANIE KERN (LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:KERN
Last Name:NOLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:CATHERINE
Other - Last Name:KERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5005 COLLEYVILLE BLVD
Mailing Address - Street 2:#206
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5818
Mailing Address - Country:US
Mailing Address - Phone:817-729-1862
Mailing Address - Fax:
Practice Address - Street 1:5005 COLLEYVILLE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5818
Practice Address - Country:US
Practice Address - Phone:817-729-1862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional