Provider Demographics
NPI:1306341334
Name:STEPHEN E. KNIGHT, LLC
Entity type:Organization
Organization Name:STEPHEN E. KNIGHT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-412-3322
Mailing Address - Street 1:6605 ABERCORN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5890
Mailing Address - Country:US
Mailing Address - Phone:912-412-3322
Mailing Address - Fax:912-525-3183
Practice Address - Street 1:6605 ABERCORN ST STE 107
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5890
Practice Address - Country:US
Practice Address - Phone:912-412-3322
Practice Address - Fax:912-525-3183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW00081901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty