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STACEY NELSON LAC
NPI 1215346259
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since August 04, 2014
4215 9TH AVE S, FARGO, ND 58103(701) 373-8667 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Nelson Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY NELSON LAC (NPI 1215346259) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1740) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1215346259
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACEY NELSONCredential: LAC
Location Address4215 9TH AVE SFargo, ND 58103-2018
Mailing Address4215 9th Ave SFargo, ND 58103-2018 · (701) 373-8667
Phone(701) 373-8667
Sole ProprietorNo
Enumeration DateAugust 4, 2014
✔ NPI 1215346259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1740
4215 9TH AVE S, Fargo, ND 58103
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN ALLEN BLOEMENDAAL MS, LAC
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
PAUL VIGEN LAC, LAPC
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
SHAREHOUSE, INC
Substance Abuse Rehabilitation Facility
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 478-9554
DYLAN PAUL HARCEY
Social Worker
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
TIMOTHY CLARK
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 478-9554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Nelson's NPI number?

The NPI number for Stacey Nelson is 1215346259. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Stacey Nelson located?

Stacey Nelson practices at 4215 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 373-8667.

What is Stacey Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacey Nelson was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.