Provider Demographics
NPI:1871155507
Name:STEIN, EMILY (LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12340 JONES RD STE 290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3129
Mailing Address - Country:US
Mailing Address - Phone:832-756-2749
Mailing Address - Fax:859-201-1151
Practice Address - Street 1:114 DENNIS DR # 9
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2917
Practice Address - Country:US
Practice Address - Phone:850-203-4212
Practice Address - Fax:859-201-1151
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2024-09-12
Deactivation Date:2021-11-08
Deactivation Code:
Reactivation Date:2021-12-09
Provider Licenses
StateLicense IDTaxonomies
104100000X
KY2560741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker