MS. SUSAN JOAN STACY M.S. L.P.C.S.
NPI 1992060628
Counselor - Professional in Dallas, TX
Active since July 09, 2012
About Ms. Susan Joan Stacy M.s. L.p.c.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSAN JOAN STACY M.S. L.P.C.S. (NPI 1992060628) is an individual professional provider in Dallas, Texas, licensed in Texas (13575) and active in the NPI registry since July 2012.
NPPES Registry Identity
NPI1992060628
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SUSAN JOAN STACYCredential: M.S. L.P.C.S.
Location Address7424 GREENVILLE AVE STE 104Dallas, TX 75231-4507
Mailing Address7424 Greenville #104Dallas, TX 75231 · (214) 987-1961
Phone(214) 987-1961
Sole ProprietorYes
Enumeration DateJuly 9, 2012
✔ NPI 1992060628 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 13575
7424 GREENVILLE AVE STE 104, Dallas, TX 75231
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992060628, enumerated as an "individual" on July 09, 2012.
The provider is located at 7424 GREENVILLE AVE STE 104 DALLAS, TX 75231 and the phone number is (214) 987-1961.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
