DR. MICHAEL JACK STEDHAM LPC LMFT NPI 1346312626

NPI Information

NPI: 1346312626
Provider Name: DR. MICHAEL JACK STEDHAM, LPC LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
301 S CENTER ST
SUITE 214
ARLINGTON, TX
ZIP 76010
Phone: (817) 276-6412
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DR. Michael Jack Stedham, LPC LMFT is a professional counselor in Arlington, TX. DR. Michael Jack Stedham, LPC LMFT NPI is 1346312626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 S CENTER ST
SUITE 214
ARLINGTON, TX
ZIP 76010-139
Phone: (817) 276-6412
Fax: (817) 276-6438

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6184	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		2283	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LP0026156	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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