STEPHANIE VAUGHN
NPI 1548868516
Counselor - Professional in Decatur, IL
Active since October 13, 2020
About Stephanie Vaughn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE VAUGHN (NPI 1548868516) is an individual professional provider in Decatur, Illinois and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1548868516
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE VAUGHN
Location Address1170 E RIVERSIDE AVEDecatur, IL 62521-3566
Mailing Address1170 E Riverside AveDecatur, IL 62521-3566
Phone(217) 972-3809
Sole ProprietorYes
Enumeration DateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1548868516 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1170 E RIVERSIDE AVE, Decatur, IL 62521
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
1170 E RIVERSIDE AVE
DECATUR, IL 62521
DECATUR, IL 62521
Community/Behavioral Health
1170 E RIVERSIDE AVE
DECATUR, IL 62521
DECATUR, IL 62521
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548868516, enumerated as an "individual" on October 13, 2020.
The provider is located at 1170 E RIVERSIDE AVE DECATUR, IL 62521 and the phone number is (217) 972-3809.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
