Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Marie Blust, QMHP

Individual provider Community/Behavioral Health Agency · NPI 1639768963

Stephanie Marie Blust, QMHP is a Community/Behavioral Health Agency in Fairborn, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

323 N Broad St
Fairborn, OH 45324-4934
Phone: (937) 318-8103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1639768963
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorYes
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

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