Laves-Khalifa, Stacey Maureen

Laves-Khalifa, Stacey Maureen is an sole proprietor health care provider with primary practice located at 3400 Bissonnet St , Houston TX 77005-2155. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Laves-Khalifa, Stacey Maureen can be contacted via phone (281) 793-8716.

Contact Information

Primary practice address
3400 Bissonnet St Houston TX 77005-2155
Phone: (281) 793-8716
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6327 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 10993 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 003603 Texas

Profile Details

NPI number 1346399797
LBN Legal business name Laves-Khalifa, Stacey Maureen
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1346399797 NPPES
Texas MEDICAID LP8004396
Texas Other 156312

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