MRS. DESIREE BERNADETTE STEPHENS PASTOR NPI 1164017455

NPI Information

NPI: 1164017455
Provider Name: MRS. DESIREE BERNADETTE STEPHENS, PASTOR
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
2427 BAXTER RD SW
ATLANTA, GA
ZIP 30315
Phone: (404) 438-5101
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MRS. Desiree Bernadette Stephens, PASTOR is a pastoral counselor in Atlanta, GA. MRS. Desiree Bernadette Stephens, PASTOR NPI is 1164017455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2427 BAXTER RD SW
ATLANTA, GA
ZIP 30315-201
Phone: (404) 438-5101

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.

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	101YP1600X	Counselor	Pastoral			Yes
2	374K00000X	Religious Nonmedical Practitioner				No

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: 5/5/2024

NPI Synchronization or Removal

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