Atkins, Stacey L.

Atkins, Stacey L. is an sole proprietor health care provider with primary practice located at 288 N Ironwood Dr Suite 110, Apache Junction AZ 85120-3830. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Atkins, Stacey L. can be contacted via phone (480) 982-2356.

Contact Information

Primary practice address
288 N Ironwood Dr Suite 110 Apache Junction AZ 85120-3830
Phone: (480) 982-2356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11357 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC13473 Arizona

Profile Details

NPI number 1902084551
LBN Legal business name Atkins, Stacey L.
Credentials M.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2008
Last updated May 26th, 2015 - about 11 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 1902084551 NPPES
Arizona MEDICAID 346214

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