Bevilacqua, Stacey M

Bevilacqua, Stacey M is an individual health care provider with primary practice located at 6099 New Taylor Rd Right Side, Orchard Park NY 14127-2385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bevilacqua, Stacey M can be contacted via phone (716) 800-1766.

Contact Information

Primary practice address
6099 New Taylor Rd Right Side Orchard Park NY 14127-2385
Phone: (716) 800-1766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22894 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 004210-01 New York

Profile Details

NPI number 1619073756
LBN Legal business name Bevilacqua, Stacey M
Credentials LMHC, CASAC, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 22nd, 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.

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