Stevenson, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

417 Issued in WV

Legal business name

STEVENSON, LLC

Practice address

1 Cantley Dr
Suite 2
Charleston, WV 25314-1089

Phone

(304) 859-4417

Fax

(304) 859-4417

NPI assigned

Jun 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey Warren Stevenson II

Title

Chief Executive Officer

Phone

(304) 859-4417

Specialties & licenses 1

Addresses

Other names 1

• Stevenson Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1265727291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CANTLEY DR",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141089",
            "telephone_number": "304-859-4417",
            "fax_number": "304-859-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CANTLEY DR",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141089",
            "telephone_number": "304-859-4417",
            "fax_number": "304-859-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-859-4417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Stevens
• Michael Stevens
• Susan Elise Stevens, FNP-BC
• Anthony Wayne Stevenson, PRSS
• Julia Stevenson
• Robert Stevenson
• Shelby Stevenson
• Ann Margaret Stevey
• Connie Stewart
• Daniel Hunter Stewart, MD

• Community/Behavioral Health Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.