Provider Demographics
NPI:1619708328
Name:AURISANO, STEPHANIE BELL (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:BELL
Last Name:AURISANO
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 1:10818 RUSTLING WINDS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4496
Mailing Address - Country:US
Mailing Address - Phone:713-213-2600
Mailing Address - Fax:
Practice Address - Street 1:10818 RUSTLING WINDS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-4496
Practice Address - Country:US
Practice Address - Phone:713-213-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX411931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical