Stocking, Stacey Glenn
Stocking, Stacey Glenn is an individual health care provider with primary practice located at 375 Rainbow Ln , Midway UT 84049-7001. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stocking, Stacey Glenn can be contacted via phone (435) 654-1082.Contact Information
Primary practice address
375 Rainbow Ln
Midway UT 84049-7001
Phone: (435) 654-1082
Fax: (435) 654-1482
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 108034-6008 | Utah |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 108034-4002 | Utah |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 108034-6004 | Utah |
Profile Details
NPI number | 1225813637 |
---|---|
LBN Legal business name | Stocking, Stacey Glenn |
Credentials | CMHC, ASUDC, TRS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2023 |
Last updated | Aug 25th, 2023 - about last year |
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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