Provider Demographics
NPI:1215655907
Name:STEPHANIE HOOTON COUNSELING, PLLC
Entity type:Organization
Organization Name:STEPHANIE HOOTON COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR-SUP
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLETHEN HOOTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC-S
Authorized Official - Phone:512-777-1580
Mailing Address - Street 1:115 KOHLERS CROSSING
Mailing Address - Street 2:SUITE 330
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640
Mailing Address - Country:US
Mailing Address - Phone:512-777-1580
Mailing Address - Fax:
Practice Address - Street 1:115 KOHLERS CROSSING
Practice Address - Street 2:SUITE 330
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640
Practice Address - Country:US
Practice Address - Phone:512-777-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty