Stacey, Wendy Marie

Stacey, Wendy Marie is an individual health care provider with primary practice located at 187 W Broad St , Spartanburg SC 29306-3234. 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. Stacey, Wendy Marie can be contacted via phone (864) 582-7588.

Contact Information

Primary practice address
187 W Broad St Spartanburg SC 29306-3234
Phone: (864) 582-7588
Fax: (864) 582-0431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1107283 South Carolina

Profile Details

NPI number 1417295908
LBN Legal business name Stacey, Wendy Marie
Credentials CAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jan 18th, 2013 - about 11 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 1417295908 NPPES
South Carolina Other 1107283 CAC

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