Irene Stacy Cmhc in Butler - Community/behavioral Health
Irene Stacy Cmhc - NPI 1740465475
Irene Stacy Cmhc is a Community/behavioral Health in Butler, Pennsylvania. Irene Stacy Cmhc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Irene Stacy Cmhc is 1740465475. The last update date is 2007-12-31.
Irene Stacy Cmhc's current location address is 112 Hillvue Drive, Butler, Pennsylvania. You can contact this provider via phone number 7242870791 and fax number 7242872730. The mailing address for Irene Stacy Cmhc is 112 Hillvue Drive, Butler, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Irene Stacy Cmhc |
|---|---|
| Address | 112 Hillvue Drive, Butler, Pennsylvania |
| Phone Number | 7242870791 |
| Fax Number | 7242872730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kelly A Roger |
| Credentials | LPC |
| Telephone Number | 7242870791 |
NPI Number Detail
| NPI Number | 1740465475 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2007-12-31 |
Provider Mailing Address Detail
| Address | 112 Hillvue Drive |
|---|---|
| City | Butler |
| State | Pennsylvania (PA) |
| Post Code | 160013498 |
| Phone Number | 7242870791 |
| Fax Number | 7242872730 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 457480 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100003515 0069 | PA | -- |
Post Comment/ Review Below
What is the Irene Stacy Cmhc's 1740465475?
The Irene Stacy Cmhc's NPI (National Provider Identifier) Number is 1740465475. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Irene Stacy Cmhc is located?
The Irene Stacy Cmhc is situated at the following address: 112 Hillvue Drive, Butler, PA, 160013498.
What is Irene Stacy Cmhc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Irene Stacy Cmhc is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Irene Stacy Cmhc receive the assignment of its 1740465475 from the Centers for Medicare & Medicaid Services?
The Irene Stacy Cmhc was issued its 1740465475 by the Centers for Medicare & Medicaid Services on 2007-12-31.
As of what date were the Irene Stacy Cmhc's details last updated?
The information pertaining to the Irene Stacy Cmhc, including its address, specialty, and other details, was most recently updated on 2007-12-31.