Richards, Stacy

Richards, Stacy is an sole proprietor health care provider with primary practice located at 950 N 4Th St , Longview TX 75601-5436. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Richards, Stacy can be contacted via phone (903) 758-0596.

Contact Information

Primary practice address
950 N 4Th St Longview TX 75601-5436
Phone: (903) 758-0596
Fax: (903) 758-0598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8369 Texas

Profile Details

NPI number 1568726461
LBN Legal business name Richards, Stacy
Credentials LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2012
Last updated May 17th, 2016 - about 9 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 1568726461 NPPES
Texas Other 507902 MAC- NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS
Texas Other 8369 MAC- NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS

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