Stephanie L Bartz Hudson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hebron, IN
NPI 1003535246 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1003535246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- C2-5197 (IN)
- Practice address
- 617 Persimmon Pkwy
Hebron, IN 46341-8621 - Phone
- (219) 508-1964
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-5197 | IN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C2-5197 | IN | Yes |
Addresses
Primary practice location
617 Persimmon Pkwy
Hebron, IN 46341-8621
Mailing address
617 Persimmon Pkwy
Hebron, IN 46341-8621
Phone (219) 508-1964
Other providers in Hebron, IN
- Charina F Alma Jose
- Milan Andjelich
- Arc Bridges, Inc.
- Peter J Blank
- Carla K Brink
- Kiera Faith Brummet
- Carla K. Brink, D.D.S., P.C.
- Dedicated Family Health
All providers in Hebron, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.