Youngblood, Stacy

Youngblood, Stacy is an sole proprietor health care provider with primary practice located at 503 Broken Shale Cir , Henderson NV 89052-2890. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Youngblood, Stacy can be contacted via phone (702) 241-7166.

Contact Information

Primary practice address
503 Broken Shale Cir Henderson NV 89052-2890
Phone: (702) 241-7166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MI0358 Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MI0358 Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4263 Nevada

Profile Details

NPI number 1942554076
LBN Legal business name Youngblood, Stacy
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2012
Last updated Aug 24th, 2022 - about 4 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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