Harris, Stacy L

Harris, Stacy L is an individual health care provider with primary practice located at 106 E Main St , Richmond KY 40475-1647. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harris, Stacy L can be contacted via phone (606) 776-4741.

Contact Information

Primary practice address
106 E Main St Richmond KY 40475-1647
Phone: (606) 776-4741
Fax: (866) 535-3105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3212 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3212 Kentucky

Profile Details

NPI number 1457401374
LBN Legal business name Harris, Stacy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Oct 27th, 2020 - about 4 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 1457401374 NPPES
Kentucky MEDICAID 1790731081

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