Stowe, Lacie Racheal

Stowe, Lacie Racheal is an sole proprietor health care provider with primary practice located at 1310 Bradley Dr , Mountain Home AR 72653-2730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stowe, Lacie Racheal can be contacted via phone (870) 424-4021.

Contact Information

Primary practice address
1310 Bradley Dr Mountain Home AR 72653-2730
Phone: (870) 424-4021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 12032-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12032-M Arkansas

Profile Details

NPI number 1740903301
LBN Legal business name Stowe, Lacie Racheal
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2022
Last updated Dec 1st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740903301 NPPES
Arkansas MEDICAID 289327795

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