Prothro, Stacey L

Prothro, Stacey L is an sole proprietor health care provider with primary practice located at 4101 Mcgowen St Ste 110133 , Long Beach CA 90808-1898. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Prothro, Stacey L can be contacted via phone (310) 962-7126.

Contact Information

Primary practice address
4101 Mcgowen St Ste 110133 Long Beach CA 90808-1898
Phone: (310) 962-7126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29497 California

Profile Details

NPI number 1437323003
LBN Legal business name Prothro, Stacey L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2008
Last updated Jan 31st, 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.

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