Bennett, Stacy Marie
Bennett, Stacy Marie is an individual health care provider with primary practice located at 1314 N Lafitte Rd , Abbeville LA 70510-3149. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bennett, Stacy Marie can be contacted via phone (337) 600-1121.Contact Information
Primary practice address
1314 N Lafitte Rd
Abbeville LA 70510-3149
Phone: (337) 600-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1730786054 |
|---|---|
| LBN Legal business name | Bennett, Stacy Marie |
| Credentials | CAC, BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Feb 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730786054 | NPPES |
| Louisiana | MEDICAID | 008101225 |
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