Stacy, Deanna L

Stacy, Deanna L is an sole proprietor health care provider with primary practice located at 15941 Harlem Ave # 140 , Tinley Park IL 60477-1609. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stacy, Deanna L can be contacted via phone (779) 435-4271.

Contact Information

Primary practice address
15941 Harlem Ave # 140 Tinley Park IL 60477-1609
Phone: (779) 435-4271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180009845 Illinois

Profile Details

NPI number 1558784942
LBN Legal business name Stacy, Deanna L
Credentials MA, LCPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2014
Last updated Jul 27th, 2020 - about 5 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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