Bankston, Stacey Lynette
Bankston, Stacey Lynette is an individual health care provider with primary practice located at 1233 West Poplar , Rogers AR 72756-4249. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bankston, Stacey Lynette can be contacted via phone (479) 636-9235.Contact Information
Primary practice address
1233 West Poplar
Rogers AR 72756-4249
Phone: (479) 636-9235
Fax: (479) 631-0374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7482-C | Arkansas |
Profile Details
NPI number | 1710211461 |
---|---|
LBN Legal business name | Bankston, Stacey Lynette |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2009 |
Last updated | Sep 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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