Goodpaster, Stacy Nicole
Goodpaster, Stacy Nicole is an individual health care provider with primary practice located at 26184 Outer Dr , Lincoln Park MI 48146-2084. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodpaster, Stacy Nicole can be contacted via phone (133) 389-7500.Contact Information
Primary practice address
26184 Outer Dr
Lincoln Park MI 48146-2084
Phone: (133) 389-7500
Fax: (313) 389-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801104179 | Michigan |
Profile Details
| NPI number | 1619016672 |
|---|---|
| LBN Legal business name | Goodpaster, Stacy Nicole |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Sep 23rd, 2019 - about 7 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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