Stahley, Trisha
Stahley, Trisha is an sole proprietor health care provider with primary practice located at 1400 Commerce Avenue , Longview WA 98632. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Stahley, Trisha can be contacted via phone (360) 998-2047.Contact Information
Primary practice address
1400 Commerce Avenue
Longview WA 98632
Phone: (360) 998-2047
Fax: (360) 200-6736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | 61109299 | Washington |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 61109299 | Washington |
Profile Details
| NPI number | 1710594585 |
|---|---|
| LBN Legal business name | Stahley, Trisha |
| Credentials | AAC, CPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2020 |
| Last updated | Oct 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710594585 | NPPES |
| Washington | MEDICAID | 2212523 |
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