| Organization Name: | STEPHANIE S. ACKERMAN LLC |
| NPI Number: | 1104073733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE S. ACKERMAN (OWNER) |
| Mailing Address: | 953 Walnut St #2b Wheatland |
| State: | WY US |
| Postal Code: | 822012665 |
| Phone Number: | 3073319375 |
| Fax Number: | 3073221602 |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |