Waring, Stacey Lee

Waring, Stacey Lee is an sole proprietor health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waring, Stacey Lee can be contacted via phone (703) 771-5100.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Virginia

Profile Details

NPI number 1053420943
LBN Legal business name Waring, Stacey Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1053420943 NPPES
Virginia Other 293823 AMERIGROUP
Virginia Other 384563 AMERIGROUP

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