Barham, Stacy

Barham, Stacy is an individual health care provider with primary practice located at 827 W Commercial St , Mansfield MO 65704-9520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Barham, Stacy can be contacted via phone (417) 924-8188.

Contact Information

Primary practice address
827 W Commercial St Mansfield MO 65704-9520
Phone: (417) 924-8188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2011036261 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2014008375 Missouri

Profile Details

NPI number 1821374935
LBN Legal business name Barham, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2011
Last updated Mar 19th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821374935 NPPES
Missouri MEDICAID 1821374935

Popular Providers