Stacie Davis Llc

LBN: Stacie Davis Llc
Stacie Davis Llc is an health care organization with primary practice located at 501 Cedar Rd Ste 2C , Chesapeake VA 23322-5527. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Stacie Davis Llc can be contacted via phone (757) 574-0303, or through Davis, Stacie via phone (757) 574-0303.

Contact Information

Primary practice address
501 Cedar Rd Ste 2C Chesapeake VA 23322-5527
Phone: (757) 574-0303
Fax: (757) 574-0102
Website:
Map and Directions
Authorized official contact:
Name: Davis, Stacie Licensed Professional Counselor (LPC)
Phone: (757) 574-0303

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1982178257
LBN Legal business name Stacie Davis Llc
DBA Doing business as
Authorized official Davis, Stacie Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2019
Last updated Jan 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982178257 NPPES
Virginia MEDICAID 1790860559

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