Stauty, Santana Rae
Stauty, Santana Rae is an individual health care provider with primary practice located at 3001 Us Highway 12 E Ste 160 , Menomonie WI 54751-3045. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Stauty, Santana Rae can be contacted via phone (715) 231-2743.Contact Information
Primary practice address
3001 Us Highway 12 E Ste 160
Menomonie WI 54751-3045
Phone: (715) 231-2743
Fax: (715) 232-5987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1396251013 |
|---|---|
| LBN Legal business name | Stauty, Santana Rae |
| Credentials | LPC MS CRC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2017 |
| Last updated | Aug 6th, 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 | 1396251013 | NPPES |
| Wisconsin | MEDICAID | 100079838 |
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