Simon, Stacey

Simon, Stacey is an sole proprietor health care provider with primary practice located at 204 W Wayne St Ste 210-7 , Maumee OH 43537-2125. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Simon, Stacey can be contacted via phone (419) 359-8600.

Contact Information

Primary practice address
204 W Wayne St Ste 210-7 Maumee OH 43537-2125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1700029 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1700029-SUPV Ohio

Profile Details

NPI number 1336538545
LBN Legal business name Simon, Stacey
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2015
Last updated Sep 9th, 2021 - about 3 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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