Roum, Stacia
Roum, Stacia is an individual health care provider with primary practice located at Nm 571 Bldg 28 , El Rito NM 87530. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roum, Stacia can be contacted via phone (575) 581-4728.Contact Information
Primary practice address
Nm 571 Bldg 28
El Rito NM 87530
Phone: (575) 581-4728
Fax: (575) 581-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M10379 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-11362 | New Mexico |
Profile Details
| NPI number | 1801427695 |
|---|---|
| LBN Legal business name | Roum, Stacia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801427695 | NPPES |
| New Mexico | MEDICAID | 49475053 |
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