Humphrey, Stacy Michelle

Humphrey, Stacy Michelle is an sole proprietor health care provider with primary practice located at 2118 N State Line Ave , Texarkana AR 71854-3583. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Humphrey, Stacy Michelle can be contacted via phone (870) 774-1333.

Contact Information

Primary practice address
2118 N State Line Ave Texarkana AR 71854-3583
Phone: (870) 774-1333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 61024 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X P0706030 Arkansas

Profile Details

NPI number 1487810396
LBN Legal business name Humphrey, Stacy Michelle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2008
Last updated Jul 11th, 2023 - about 3 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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