Dr. Michelle Stevens
Counselor, Mental Health in Columbia, SC. Individual provider (NPI-1).
NPI number1124489786
StatusActive
Last updated in NPPESMar 9, 2024
Details
- NPI
- 1124489786
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Stevens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2016
- Certification date
- Mar 9, 2024
- Last updated
- Mar 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | R02162 | MD | Yes |
| 101YP1600X | Counselor, Pastoral | D14115-27 | MD | |
| 225700000X | Massage Therapist | 13459 | SC | |
| 225700000X | Massage Therapist | RO2162 | MD |
Practice location
631 Stickley RdColumbia, SC 29229-6889
Phone 301-875-6567
Mailing address
631 Stickley RdColumbia, SC 29229-6889
Phone 130-187-5656
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