Smith, Stacy G.
Smith, Stacy G. is an individual health care provider with primary practice located at 24 Godwin Ave Ste 210 , Midland Park NJ 07432-1927. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Stacy G. can be contacted via phone (516) 232-7775.Contact Information
Primary practice address
24 Godwin Ave Ste 210
Midland Park NJ 07432-1927
Phone: (516) 232-7775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 006573 | New York |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00562000 | New Jersey |
Profile Details
| NPI number | 1245612779 |
|---|---|
| LBN Legal business name | Smith, Stacy G. |
| Credentials | MS, LMHC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2015 |
| Last updated | Apr 1st, 2018 - about 6 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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