Stacey, Karen K

Stacey, Karen K is an sole proprietor health care provider with primary practice located at 10824 Old Mill Rd Ste 21 , Omaha NE 68154-2642. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stacey, Karen K can be contacted via phone (402) 330-6060.

Contact Information

Primary practice address
10824 Old Mill Rd Ste 21 Omaha NE 68154-2642
Fax: (402) 330-6108
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 81 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 171 Nebraska

Profile Details

NPI number 1316926694
LBN Legal business name Stacey, Karen K
Credentials LMHP LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316926694 NPPES
Nebraska Other 82301 BLUE CROSS BLUE SHIELD

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