Perko, Stacey

Perko, Stacey is an sole proprietor health care provider with primary practice located at 3507 N University Ave Ste 350 , Provo UT 84604-6602. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Perko, Stacey can be contacted via phone (801) 842-8062.

Contact Information

Primary practice address
3507 N University Ave Ste 350 Provo UT 84604-6602
Phone: (801) 842-8062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6086382-6005 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6086382-3501 Utah

Profile Details

NPI number 1679034516
LBN Legal business name Perko, Stacey
Credentials MSW, LCSW, SUDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2019
Last updated May 1st, 2020 - about 6 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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