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Contact Information

SHAVONYA M STEPHENS, LADC
620 S LAUREL ST
PINE BLUFF, AR71601-4859
 Phone: 870-534-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for SHAVONYA M STEPHENS · (Female)

NPI # 1508258542
Status Active
Credentials LADC
Entity Individual
Enumeration date 02/27/2015
Last updated 01/06/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 1361
  • AR Medicaid 180635526
  • TN Medicaid Q097745
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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