STEPHANIE MCINELLY (NPI# 1013317619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013317619 |
| Entity Type | Individual |
| Full Name | STEPHANIE MCINELLY |
| Other Name | STEPHANIE COLE |
| Credential | BS |
| Practice Address |
2300 E Fry Blvd #3694 Sierra Vista AZ 85635-2858 |
| Practice Telephone | 5097240920 |
| Mailing Telephone | 5097240920 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers | |
| Y | 106H00000X | Marriage & Family Therapist | LMFT-15440 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2300 E FRY BLVD #3694 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962030833 | Vivian Ryu Lcsw Pllc | Clinic/Center | 2300 E Fry Blvd, Sierra Vista, AZ 85635-2712 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215029517 | Margaret L Borowiec | Marriage & Family Therapist | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313850 | Lavarez Dell Harris | Marriage & Family Therapist | 26641 W Matthew Dr, Buckeye, AZ 85396-8011 | 2020-10-14 |
| 1114538196 | Lauren Marchal | Marriage & Family Therapist | 11222 N Sundown Dr, Scottsdale, AZ 85260-6439 | 2020-08-12 |
| 1184241234 | Josephina Camacho Garcia | Marriage & Family Therapist | 281 W 24th St # 139, Yuma, AZ 85364-8500 | 2020-07-05 |
| 1851917413 | Kenneth William Fausett Sr. | Marriage & Family Therapist | 276 Lake Havasu Ave S Apt C32, Lake Havasu City, AZ 86403-6521 | 2020-06-19 |
| 1750902896 | Rachel White | Marriage & Family Therapist | 18301 N 79th Ave Ste B125, Glendale, AZ 85308-8463 | 2020-04-29 |
| 1275169286 | Sophia L Sims | Marriage & Family Therapist | 4210 N Saranac Dr, Tucson, AZ 85718-6731 | 2020-03-21 |
| 1689206633 | Nancy Renee Frigaard | Marriage & Family Therapist | 7218 W Dreyfus Dr, Peoria, AZ 85381-6011 | 2020-02-07 |
| 1861022642 | Michele Lalicata | Marriage & Family Therapist | 2899 E Fandango Dr, Gilbert, AZ 85298-8769 | 2020-01-22 |
| 1225677362 | Marissa Balsino | Marriage & Family Therapist | 7705 W Tonto Dr, Glendale, AZ 85308-6073 | 2020-01-06 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.