| Doctor Name: | MR. STEPHEN D. HENDRIX |
| NPI Number: | 1356695282 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LAPC |
| License Number: | 122409 |
| Business Practice Address: | 2487 Demere Rd Suite 500 Saint Simons Island, GA - 315225639 |
| Business Phone Number: | 9124015969 |
| Business Fax Number: | |
| Mailing Address: | Po Box 20832, SAINT SIMONS ISLAND |
| State: | GA |
| Postal Code: | 315220432 |
| Phone Number: | 9124015969 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 02/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 122409 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |