Porreca, Stacey Lynn

Porreca, Stacey Lynn is an sole proprietor health care provider with primary practice located at 1547 S Wayne Rd , Westland MI 48186-5436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Porreca, Stacey Lynn can be contacted via phone (734) 405-0176.

Contact Information

Primary practice address
1547 S Wayne Rd Westland MI 48186-5436
Phone: (734) 405-0176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6801068161 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801068161 Michigan

Profile Details

NPI number 1396905386
LBN Legal business name Porreca, Stacey Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2008
Last updated Jun 12th, 2008 - about 16 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 1396905386 NPPES
Michigan Other 383501869 APEX BEHAVIORAL HEALTH TAX ID
Michigan Other 6801068161 APEX BEHAVIORAL HEALTH TAX ID

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