Stacey Lynn Porreca in Westland - Mental Health
Stacey Lynn Porreca - NPI 1396905386
Stacey Lynn Porreca is a Mental Health in Westland, Michigan. Stacey Lynn Porreca practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Stacey Lynn Porreca is 1396905386. The last update date is 2008-06-12.
Stacey Lynn Porreca's current location address is 1547 S Wayne Rd, Westland, Michigan. You can contact this provider via phone number 7344050176 and fax number 7344040184. The mailing address for Stacey Lynn Porreca is 1547 S Wayne Rd, Westland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lynn Porreca |
|---|---|
| Address | 1547 S Wayne Rd, Westland, Michigan |
| Phone Number | 7344050176 |
| Fax Number | 7344040184 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396905386 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 1547 S Wayne Rd |
|---|---|
| City | Westland |
| State | Michigan (MI) |
| Post Code | 48181 |
| Phone Number | 7344050176 |
| Fax Number | 7344040184 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6801068161 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 383501869 | MI | APEX BEHAVIORAL HEALTH TAX ID | |
| 6801068161 | MI | APEX BEHAVIORAL HEALTH TAX ID |
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What is the unique identifier code issued to Stacey Lynn Porreca by the Centers for Medicare & Medicaid Services?
The Stacey Lynn Porreca has been assigned the NPI (National Provider Identifier) 1396905386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacey Lynn Porreca?
The Stacey Lynn Porreca is situated at 1547 S Wayne Rd, in the city of Westland, state of MI, with the zip code 48181.
What is the Stacey Lynn Porreca's specialty and taxonomy code?
The Stacey Lynn Porreca's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396905386 to Stacey Lynn Porreca?
The Centers for Medicare & Medicaid Services assigned the 1396905386 to Stacey Lynn Porreca on 2008-06-12.
When was the information regarding Stacey Lynn Porreca most recently updated?
The details pertaining to the Stacey Lynn Porreca, including its address, specialty, and other relevant information, were last refreshed on 2008-06-12.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC