Grooms, Stacia

Grooms, Stacia is an sole proprietor health care provider with primary practice located at 1320 Main St Ste 300 , Columbia SC 29201-3266. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Grooms, Stacia can be contacted via phone (954) 603-7885.

Contact Information

Primary practice address
1320 Main St Ste 300 Columbia SC 29201-3266
Phone: (954) 603-7885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1578099321
LBN Legal business name Grooms, Stacia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 9 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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