Staivisky, Jeanne Louise

Staivisky, Jeanne Louise is an individual health care provider with primary practice located at Blanchfield Army Community Hospital 650 Joel Drive, Fort Campbell KY 42223-5349. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Staivisky, Jeanne Louise can be contacted via phone (270) 798-8372.

Contact Information

Primary practice address
Blanchfield Army Community Hospital 650 Joel Drive Fort Campbell KY 42223-5349
Phone: (270) 798-8372
Fax: (270) 956-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000646A Indiana
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1487620225
LBN Legal business name Staivisky, Jeanne Louise
Credentials CAS, MAC, LPC, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 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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