Cristo, Stacy D

Cristo, Stacy D is an individual health care provider with primary practice located at 55 John A Cummings Way , Woonsocket RI 02895-3247. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cristo, Stacy D can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 John A Cummings Way Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MHC00247 Rhode Island

Profile Details

NPI number 1437175718
LBN Legal business name Cristo, Stacy D
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437175718 NPPES
Rhode Island MEDICAID SC58301

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