Ingram, Stacey Lea

Ingram, Stacey Lea is an individual health care provider with primary practice located at 215 W Atlantic St , Emporia VA 23847-1223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ingram, Stacey Lea can be contacted via phone (434) 634-5181.

Contact Information

Primary practice address
215 W Atlantic St Emporia VA 23847-1223
Phone: (434) 634-5181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000154 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003316 Virginia

Profile Details

NPI number 1235171224
LBN Legal business name Ingram, Stacey Lea
Credentials LPC, LSATP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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