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STACEY BOTTOMS
NPI 1407064256
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since May 17, 2007
6511 N 1ST ST, FRESNO, CA 93710(559) 438-7129 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Bottoms NPPES

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

STACEY BOTTOMS (NPI 1407064256) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1407064256
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACEY BOTTOMS
Location Address6511 N 1ST STFresno, CA 93710-3930
Mailing Address6511 N 1st StFresno, CA 93710-3930
Phone(559) 438-7129
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407064256 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
6511 N 1ST ST, Fresno, CA 93710
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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 Bottoms's NPI number?

The NPI number for Stacey Bottoms is 1407064256. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Stacey Bottoms located?

Stacey Bottoms practices at 6511 N 1st St, Fresno, CA 93710. The listed phone number is (559) 438-7129.

What is Stacey Bottoms'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 Bottoms was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.