Bourgeois, Stephanie Nash

Bourgeois, Stephanie Nash is an sole proprietor health care provider with primary practice located at 1212 Montgomery St , Mandeville LA 70448-5442. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bourgeois, Stephanie Nash can be contacted via phone (985) 624-4978.

Contact Information

Primary practice address
1212 Montgomery St Mandeville LA 70448-5442
Fax: (985) 727-1015
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2736 Louisiana

Profile Details

NPI number 1235375726
LBN Legal business name Bourgeois, Stephanie Nash
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2009
Last updated Jan 5th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235375726 NPPES
Louisiana Other 5S504 MEDICARE

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