Santiago, Stacy Lyn
Santiago, Stacy Lyn is an individual health care provider with primary practice located at 1640 Powers Ferry Rd Se Building 9, Suite 100, Marietta GA 30067-5491. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Santiago, Stacy Lyn can be contacted via phone (770) 953-0080.Contact Information
Primary practice address
1640 Powers Ferry Rd Se Building 9, Suite 100
Marietta GA 30067-5491
Phone: (770) 953-0080
Fax: (770) 953-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APC002534 | Georgia |
Profile Details
| NPI number | 1386922623 |
|---|---|
| LBN Legal business name | Santiago, Stacy Lyn |
| Credentials | M.S., APC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2011 |
| Last updated | Aug 3rd, 2011 - about 15 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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