Provider Demographics
NPI:1235976952
Name:STEVEN A. MANSFIELD, LPC, INC
Entity type:Organization
Organization Name:STEVEN A. MANSFIELD, LPC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-571-5110
Mailing Address - Street 1:1612 NEWCASTLE ST STE 221
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-6781
Mailing Address - Country:US
Mailing Address - Phone:912-571-5110
Mailing Address - Fax:
Practice Address - Street 1:1612 NEWCASTLE ST STE 221
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-6781
Practice Address - Country:US
Practice Address - Phone:912-571-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty