Provider Demographics
NPI:1295507945
Name:HENTZ, STEPHANIE LYNNEA WESTON (MSW, LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNNEA WESTON
Last Name:HENTZ
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:LYNNEA
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LCAS
Mailing Address - Street 1:3 E BAIRD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1102
Mailing Address - Country:US
Mailing Address - Phone:828-423-6417
Mailing Address - Fax:
Practice Address - Street 1:3 E BAIRD MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1102
Practice Address - Country:US
Practice Address - Phone:828-423-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C013985101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional