Clemmons, Stephanie Jo
Clemmons, Stephanie Jo is an sole proprietor health care provider with primary practice located at 231 Breckenridge Ln Ste 201 , Louisville KY 40207-3871. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clemmons, Stephanie Jo can be contacted via phone (502) 200-9836.Contact Information
Primary practice address
231 Breckenridge Ln Ste 201
Louisville KY 40207-3871
Phone: (502) 200-9836
Fax: (502) 237-9072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | KY-1322 | Kentucky |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 103057 | Kentucky |
Profile Details
| NPI number | 1093051229 |
|---|---|
| LBN Legal business name | Clemmons, Stephanie Jo |
| Credentials | MED, LPCC, LPAT, ATR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2012 |
| Last updated | Aug 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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