Antonelli, Stanley Thomas

Antonelli, Stanley Thomas is an individual health care provider with primary practice located at 4004 Pleasant Dr , Kokomo IN 46902-5858. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Antonelli, Stanley Thomas can be contacted via phone (574) 727-1833.

Contact Information

Primary practice address
4004 Pleasant Dr Kokomo IN 46902-5858
Phone: (574) 727-1833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001442A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005677A Indiana
Behavioral Health & Social Service Providers / School 1041S0200X 1619240 Indiana

Profile Details

NPI number 1720328446
LBN Legal business name Antonelli, Stanley Thomas
Credentials L.C.S.W., L.C.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2013
Last updated Feb 15th, 2013 - about 13 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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