Stephanie Walthour, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001585 Issued in GA

Practice address

3400 Chapel Hill Rd Ste 317
Douglasville, GA 30135

Phone

(704) 293-9875

NPI assigned

Jan 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Intimacy Center of Georgia

  • Marriage & Family Therapist
  • Douglasville, GA
  • NPI 1922580448
  NPD Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1659816288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 IRVINE DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352042",
            "telephone_number": "704-293-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 317",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "704-293-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHOUR",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3245",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Denise Walker, LPC
• Eddie Carl Walker
• Elizabeth Lathrop Walker, NP
• Erika Debro Walker, ATC, LAT
• Shikara Walker
• Latoya A Walton
• Kevin Ward, D.O
• Allison Warren
• Patricia Warren, LCSW
• Shantia Warren, PT, DPT

• Marriage & Family Therapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.