| Doctor Name: | SHEILA ANN STEPHENSON |
| NPI Number: | 1518130467 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | M - 06592 |
| Business Practice Address: | 226 W 2nd St Portales, NM - 881306232 |
| Business Phone Number: | 5757143410 |
| Business Fax Number: | |
| Mailing Address: | 518 E 18th St, PORTALES |
| State: | NM |
| Postal Code: | 881309268 |
| Phone Number: | 5757143410 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2008 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | M - 06592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |