Lawrence, Stacie Danielle

Lawrence, Stacie Danielle is an sole proprietor health care provider with primary practice located at 665 W 4Th St , Winston Salem NC 27101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lawrence, Stacie Danielle can be contacted via phone (336) 725-8389.

Contact Information

Primary practice address
665 W 4Th St Winston Salem NC 27101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-24289 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X PO15829 North Carolina

Profile Details

NPI number 1346544756
LBN Legal business name Lawrence, Stacie Danielle
Credentials LCSW-A, LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2010
Last updated May 17th, 2021 - about 5 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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