Smith, Stacy G.

Smith, Stacy G. is an individual health care provider with primary practice located at 24 Godwin Ave Ste 210 , Midland Park NJ 07432-1927. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Stacy G. can be contacted via phone (516) 232-7775.

Contact Information

Primary practice address
24 Godwin Ave Ste 210 Midland Park NJ 07432-1927
Phone: (516) 232-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006573 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00562000 New Jersey

Profile Details

NPI number 1245612779
LBN Legal business name Smith, Stacy G.
Credentials MS, LMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2015
Last updated Apr 1st, 2018 - about 8 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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