Smith, Staci

Smith, Staci is an individual health care provider with primary practice located at 775 Lexington Ave , Mansfield OH 44907-1906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Staci can be contacted via phone (419) 774-4010.

Contact Information

Primary practice address
775 Lexington Ave Mansfield OH 44907-1906
Fax: (417) 774-4014
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1500936-SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.1201024 Ohio

Profile Details

NPI number 1255722500
LBN Legal business name Smith, Staci
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated May 12th, 2026 - about 5 months 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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