Stephanie Roberts, LPC-MHSP
Individual provider Active NPI Professional Counselor · Buchanan, TN
NPI 1669100640 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1669100640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 6175 E Antioch Rd
Buchanan, TN 38222-4300 - Phone
- (731) 415-2042
- NPI assigned
- Aug 9, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
6175 E Antioch Rd
Buchanan, TN 38222-4300
Mailing address
6175 E Antioch Rd
Buchanan, TN 38222-4300
Other providers in Buchanan, TN
All providers in Buchanan, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 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.