Beisel, Stacey Jean

Beisel, Stacey Jean is an sole proprietor health care provider with primary practice located at 60 S State Route 157 Ste 18 , Edwardsville IL 62025-3899. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Beisel, Stacey Jean can be contacted via phone (618) 580-5708.

Contact Information

Primary practice address
60 S State Route 157 Ste 18 Edwardsville IL 62025-3899
Phone: (618) 580-5708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007620 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.005542 Illinois

Profile Details

NPI number 1861628679
LBN Legal business name Beisel, Stacey Jean
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2009
Last updated Jan 1st, 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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