Courtney, Stacy Lynn

Courtney, Stacy Lynn is an sole proprietor health care provider with primary practice located at 303 Monarch Cv , Cedar Park TX 78613-2106. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Courtney, Stacy Lynn can be contacted via phone (512) 626-4925.

Contact Information

Primary practice address
303 Monarch Cv Cedar Park TX 78613-2106
Fax: (512) 410-4794
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11527 Texas

Profile Details

NPI number 1861601395
LBN Legal business name Courtney, Stacy Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Sep 16th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861601395 NPPES
Texas MEDICAID 026637101

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