DYLAN STEPHENSON LAC
NPI 1346077740
Counselor - Mental Health in Scottsdale, AZ
Active since September 18, 2024
About Dylan Stephenson Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN STEPHENSON LAC (NPI 1346077740) is an individual mental health provider in Scottsdale, Arizona, licensed in Arizona (LAC-23038) and active in the NPI registry since September 2024. He maintains a secondary practice location in Phoenix.
NPPES Registry Identity
NPI1346077740
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDYLAN STEPHENSONCredential: LAC
Location Address6424 E GREENWAY PKWYScottsdale, AZ 85254-2045
Mailing Address15600 N Frank Lloyd Wright Blvd Apt 1147Scottsdale, AZ 85260-2210 · (520) 635-9137
Phone(480) 531-1076
Sole ProprietorYes
Enumeration DateSeptember 18, 2024
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1346077740 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-23038
6424 E GREENWAY PKWY, Scottsdale, AZ 85254
Secondary Practice Location 1
Location 111022 S 51st StPhoenix, AZ 85044-4308 · Phone (480) 608-9475
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Durable Medical Equipment & Medical Supplies
6424 E GREENWAY PKWY, SUITE 100
SCOTTSDALE, AZ 85254
SCOTTSDALE, AZ 85254
Hospice Care, Community Based
6424 E GREENWAY PKWY, SUITE 100
SCOTTSDALE, AZ 85254
SCOTTSDALE, AZ 85254
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346077740, enumerated as an "individual" on September 18, 2024.
The provider is located at 6424 E GREENWAY PKWY SCOTTSDALE, AZ 85254 and the phone number is (480) 531-1076.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
