Provider Demographics
NPI:1962624122
Name:VAUGHAN, STEVEN W (LPC-S)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:W
Last Name:VAUGHAN
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-3023
Mailing Address - Country:US
Mailing Address - Phone:817-301-7083
Mailing Address - Fax:888-696-2894
Practice Address - Street 1:507 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-3023
Practice Address - Country:US
Practice Address - Phone:817-301-7083
Practice Address - Fax:888-696-2894
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184763403Medicaid