Stacie Elizabeth Carlson in Three Rivers - Mental Health

Stacie Elizabeth Carlson - NPI 1649379405

Stacie Elizabeth Carlson is a Mental Health in Three Rivers, Michigan. Stacie Elizabeth Carlson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Stacie Elizabeth Carlson is 1649379405. The last update date is 2007-07-08.

Stacie Elizabeth Carlson's current location address is 210 S Main Street, Three Rivers, Michigan. You can contact this provider via phone number 2692735000 and fax number 2692739456. The mailing address for Stacie Elizabeth Carlson is 210 S Main Street, Three Rivers, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacie Elizabeth Carlson
Address 210 S Main Street, Three Rivers, Michigan
Phone Number 2692735000
Fax Number 2692739456
Sole Proprietor N
Credentials COUNSELOR

NPI Number Detail

NPI Number 1649379405
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 210 S Main Street
City Three Rivers
State Michigan (MI)
Post Code 49093
Phone Number 2692735000
Fax Number 2692739456

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 6401009833
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
1708146 MI --

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FAQs about Stacie Elizabeth Carlson

What is the unique identifier code issued to Stacie Elizabeth Carlson by the Centers for Medicare & Medicaid Services?

The Stacie Elizabeth Carlson has been assigned the NPI (National Provider Identifier) 1649379405. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Stacie Elizabeth Carlson?

The Stacie Elizabeth Carlson is physically situated at 210 S Main Street, in the city of Three Rivers, state of MI, with the postal code 49093.

What is Stacie Elizabeth Carlson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacie Elizabeth Carlson is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649379405 to Stacie Elizabeth Carlson?

The Stacie Elizabeth Carlson received its 1649379405 assignment from the Centers for Medicare & Medicaid Services on 2006-09-21.

When was the information related to Stacie Elizabeth Carlson most recently updated or refreshed?

The details pertaining to the Stacie Elizabeth Carlson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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