Telli, Stacy Robin
Telli, Stacy Robin is an sole proprietor health care provider with primary practice located at 1091 Pemberton Hill Rd Ste 102 , Apex NC 27502-4269. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Telli, Stacy Robin can be contacted via phone (919) 303-0273.Contact Information
Primary practice address
1091 Pemberton Hill Rd Ste 102
Apex NC 27502-4269
Phone: (919) 303-0273
Fax: (919) 303-5986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004264 | North Carolina |
Profile Details
| NPI number | 1245249606 |
|---|---|
| LBN Legal business name | Telli, Stacy Robin |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245249606 | NPPES |
| North Carolina | Other | C004264 | LCSW LICENSE NUMBER |
| North Carolina | Other | 134KM | LCSW LICENSE NUMBER |
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