Griffith, Stacey
Griffith, Stacey is an individual health care provider with primary practice located at 3205 N Wilke Rd Ste 102C , Arlington Heights IL 60004-0004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Griffith, Stacey can be contacted via phone (224) 349-2594.Contact Information
Primary practice address
3205 N Wilke Rd Ste 102C
Arlington Heights IL 60004-0004
Phone: (224) 349-2594
Fax: (224) 850-3500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 178012424 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.012687 | Illinois |
Profile Details
NPI number | 1578069506 |
---|---|
LBN Legal business name | Griffith, Stacey |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2018 |
Last updated | Jun 13th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578069506 | NPPES |
Illinois | Other | 178012424 | LICENSE |
Illinois | Other | 8089-125 | LICENSE |
Illinois | Other | 180.012687 | LICENSE |
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