Felton, Stacie Kendra

Felton, Stacie Kendra is an individual health care provider with primary practice located at 445 E 1St St , Fremont NE 68025-5617. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Felton, Stacie Kendra can be contacted via phone (402) 721-7169.

Contact Information

Primary practice address
445 E 1St St Fremont NE 68025-5617
Phone: (402) 721-7169
Fax: (402) 721-7189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7859 Nebraska

Profile Details

NPI number 1235147679
LBN Legal business name Felton, Stacie Kendra
Credentials PLMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 9th, 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 1235147679 NPPES
Nebraska MEDICAID 10025115400

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