Mrs. Desiree Bernadette Stephens
Pastoral Counselor
2427 Baxter Rd Sw
Atlanta
, Georgia 30315-7201
Mrs. Desiree Bernadette Stephens
Pastoral Counselor
2427 Baxter Rd Sw
Atlanta
, Georgia 30315-7201
(404) 438-5101
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mrs. Desiree Bernadette Stephens
- 2427 Baxter Rd Sw
- Atlanta, GA
- Zip : 30315-7201
- Phone : (404) 438-5101
Second Address
- Mrs. Desiree Bernadette Stephens
- 2427 Baxter Rd Sw
- Atlanta, GA
- Zip : 30315-7201
- Phone : (404) 438-5101
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Is Mrs. Desiree Bernadette Stephens a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1164017455 |
|---|---|
| Provider Name | Mrs. Desiree Bernadette Stephens |
| First Address | Atlanta, GA 30315-7201 |
| Second Address | Atlanta, GA 30315-7201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.