Provider Demographics
NPI:1962640656
Name:STENTA, EMILY ANNE (LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:STENTA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 ROMAN HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-7921
Mailing Address - Country:US
Mailing Address - Phone:501-213-7442
Mailing Address - Fax:501-382-9375
Practice Address - Street 1:207 PROGRESS WAY
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8809
Practice Address - Country:US
Practice Address - Phone:501-213-7442
Practice Address - Fax:501-382-9375
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0901010101YM0800X
ARP1206058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health