Provider Demographics
NPI:1174397210
Name:WHITFIELD, STEPHNE C (LPCA)
Entity type:Individual
Prefix:MS
First Name:STEPHNE
Middle Name:C
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:MS
Other - First Name:STEPHNE
Other - Middle Name:C
Other - Last Name:LOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9207 UNION MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0108
Mailing Address - Country:US
Mailing Address - Phone:832-952-7016
Mailing Address - Fax:
Practice Address - Street 1:9207 UNION MEADOW LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-0108
Practice Address - Country:US
Practice Address - Phone:832-952-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92931101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional