Stack, Maia

Stack, Maia is an individual health care provider with primary practice located at 222 Tongass Dr Bldg 1206 , Sitka AK 99835-9416. 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. Stack, Maia can be contacted via phone (907) 966-8714.

Contact Information

Primary practice address
222 Tongass Dr Bldg 1206 Sitka AK 99835-9416
Phone: (907) 966-8714
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1588261630
LBN Legal business name Stack, Maia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Nov 23rd, 2020 - about 5 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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