STEPHANIE LYNN MCKEON (NPI# 1407384803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407384803 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN MCKEON |
| Credential | LCDC |
| Practice Address |
3401 57th St Port Arthur TX 77642-5902 |
| Practice Telephone | (409) 813-8341 |
| Mailing Telephone | 4098138341 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13914 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063873362 | Stephanie Mckeon | Pharmacist | 104 S Freya St Ste 225, Turquoise Flag Bldg, Spokane, WA 99202-4887 | 2016-03-14 |
| Street Address |
3401 57TH ST |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622265 | Willa Renee Moffett-williford | Counselor | 3401 57th St, Port Arthur, TX 77642-5902 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508321464 | Lillian Annette Harris | Counselor | 530 Waco Ave, Port Arthur, TX 77640-5933 | 2019-02-05 |
| 1326561580 | Julie King | Counselor | 3701 Highway 73, Port Arthur, TX 77642-4361 | 2017-07-19 |
| 1336622265 | Willa Renee Moffett-williford | Counselor | 3401 57th St, Port Arthur, TX 77642-5902 | 2018-09-06 |
| 1588176259 | Latonya Narcisse | Counselor | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2017-11-02 |
| 1346698222 | Jules Williams Jr. | Counselor | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2016-06-01 |
| 1518094127 | Kaye Frances Shepherd | Counselor | 3747 Doctors Dr, Port Arthur, TX 77642-5555 | 2007-02-28 |
| 1679613129 | Samaritan Counseling Center | Counselor | 3747 Doctors Dr, Port Arthur, TX 77642-5555 | 2007-02-07 |
| 1306903323 | Samaritan Counseling Center of Southeast Texas | Counselor | 3747 Doctors Dr, Port Arthur, TX 77642-5555 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881655 | Frances Charline Lee Cole | Counselor | 6238 Raymond Rd, Kaufman, TX 75142-7624 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1649879586 | Nicole Trevino | Counselor | 12631 E Clark Rd, La Feria, TX 78559-4528 | 2020-10-21 |
| 1144829060 | Reffitt Counseling, Pllc | Counselor | 301 S Rogers St Ste 106, Waxahachie, TX 75165-3682 | 2020-10-21 |
| 1548868664 | Michelle Villarreal | Counselor | 4720 Box Canyon Dr, Temple, TX 76502-7311 | 2020-10-12 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.