Subik, Stacey

Subik, Stacey is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Subik, Stacey can be contacted via phone (802) 442-5491.

Contact Information

Primary practice address
100 Ledgehill Rd Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 100-0098836 Vermont
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1851551857
LBN Legal business name Subik, Stacey
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jul 15th, 2016 - about 9 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 1851551857 NPPES
Vermont MEDICAID 1023076

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