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STACEY BOURBEAU BSW
NPI 1891115366
Counselor - Mental Health in Lowell, MA

Active since April 23, 2014
391 VARNUM AVENUE LOWER LEVEL, LOWELL, MA 01854(978) 322-5095 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Bourbeau Bsw NPPES

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

STACEY BOURBEAU BSW (NPI 1891115366) is an individual mental health provider in Lowell, Massachusetts and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1891115366
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY BOURBEAUCredential: BSW
Location Address391 VARNUM AVENUE LOWER LEVELLowell, MA 01854
Mailing Address391 Varnum Avenue, Lower LevelLowell, MA 01854 · (978) 322-5095 · Fax (978) 322-5097
Phone(978) 322-5095
Sole ProprietorNo
Enumeration DateApril 23, 2014
✔ NPI 1891115366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
391 VARNUM AVENUE LOWER LEVEL, Lowell, MA 01854
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Other Names 1

Other Name (5)Stacey Erin Bourbeau

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 Bourbeau's NPI number?

The NPI number for Stacey Bourbeau is 1891115366. It was assigned to this individual provider in the NPPES registry on April 23, 2014. The provider is also known as Stacey Erin Bourbeau.

Where is Stacey Bourbeau located?

Stacey Bourbeau practices at 391 Varnum Avenue Lower Level, Lowell, MA 01854. The listed phone number is (978) 322-5095.

What is Stacey Bourbeau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacey Bourbeau was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.