Waites, Stacey M

Waites, Stacey M is an individual health care provider with primary practice located at 248 E Capitol St 840 Trust Mark Bldg, Jackson MS 39201-2503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waites, Stacey M can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2016 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X C2016 Mississippi

Profile Details

NPI number 1427093707
LBN Legal business name Waites, Stacey M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 16th, 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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