Hines, Staci

Hines, Staci is an individual health care provider with primary practice located at 168 N Powerline Rd , Pompano Beach FL 33069-5713. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hines, Staci can be contacted via phone (954) 970-8805.

Contact Information

Primary practice address
168 N Powerline Rd Pompano Beach FL 33069-5713
Phone: (954) 970-8805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801097817 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW19723 Florida

Profile Details

NPI number 1811449770
LBN Legal business name Hines, Staci
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Sep 9th, 2025 - about last year

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 1811449770 NPPES
Michigan MEDICAID 1514
Michigan MEDICAID 113970600

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