David Alan Stacho in Bradenton - Mental Health

David Alan Stacho - NPI 1174713739

David Alan Stacho is a Mental Health in Bradenton, Florida. David Alan Stacho practices all healthcare services and medical treatments related to Mental Health. The NPI Number for David Alan Stacho is 1174713739. The last update date is 2007-07-30.

David Alan Stacho's current location address is 4236 59th St W, Bradenton, Florida. You can contact this provider via phone number 9419621216. The mailing address for David Alan Stacho is 4236 59th St W, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name David Alan Stacho
Address 4236 59th St W, Bradenton, Florida
Phone Number 9419621216
Fax Number
Sole Proprietor Y
Credentials LMHC

NPI Number Detail

NPI Number 1174713739
Provider Enumeration Date 2007-07-30
Last Updated Date 2007-07-30

Provider Mailing Address Detail

Address 4236 59th St W
City Bradenton
State Florida (FL)
Post Code 342096664
Phone Number 9419621216
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH 4745
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z9751 FL BLUECROSS BLUESHIELD PROV

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FAQs about David Alan Stacho

What is the unique identifier code issued to David Alan Stacho by the Centers for Medicare & Medicaid Services (CMS)?

The David Alan Stacho has been assigned the NPI (National Provider Identifier) 1174713739. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of David Alan Stacho?

The David Alan Stacho is situated at 4236 59Th St W, in the city of Bradenton, state of FL, with the zip code 342096664.

What is David Alan Stacho's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David Alan Stacho is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

When did David Alan Stacho receive its 1174713739 assignment?

The David Alan Stacho was assigned its 1174713739 on 2007-07-30, which is the date when this unique identifier was issued to the organization.

When was the information regarding David Alan Stacho most recently updated?

The details pertaining to the David Alan Stacho, including its address, specialty, and other relevant information, were last refreshed on 2007-07-30.

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