Provider Demographics
NPI:1285075275
Name:ROBERTS, STEPHANIE LYNN (LPC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LYNN
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:LYNN
Other - Last Name:ADAMCHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:232 N GEORGE STREET
Mailing Address - Street 2:STE 401
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401
Mailing Address - Country:US
Mailing Address - Phone:717-292-8633
Mailing Address - Fax:
Practice Address - Street 1:232 N GEORGE STREET
Practice Address - Street 2:STE 401
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401
Practice Address - Country:US
Practice Address - Phone:717-292-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1285075275Medicaid